Friday, June 25, 2010

Hypospadias repair

A 10 year old man came with aberrhant opening of the urethra and chordee and small penis.

There were no other developmental anamolies.The testes were normally descended.

On examination there was distal penile hypospadias and chordee.

He was taken up for final single stage repair-after skin degloving the chordee was partially got corrected(this was tested by instilling saline in corpora through the glans).The urethra after degloving fell more proximally.

Tunica albugenia plication was done on lateral side then the chordee was totally corrected.The Tubularised Incised Plate Urethroplasty was done over silicon 10 Fr Foleys catheter.The dartos was used as covering flap and Byars flap was used to place skin coverage.

A 12 Fr Foleys catheter was kept as Supra-pubic tube.

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