Sunday, April 7, 2013

MIDPENILE HYPOSPADIAS WITH CHORDEE: SINGLE STAGE CORRECTION WITH LATERAL BASED FLAP


A 30 year old gentleman came with chordee and midpenile hypospadias. We did a lateral based flap technique after releasing chordee. We had to excise the urethral plate and do deep Y-shaped cut on the glans to accommodate the tubularized lateral plate.
Step by step demonstration of how we did the surgery:

 Pre op




Chordee correction:

INCISING DEEPLY ACROSS THE URETHRAL PLATE AND THE FIBROTIC TISSE TO RELEASE THE CHORDEE

RAISING AND TUBULARISING THE LATERAL FLAP

COMPLETION OF TUBULARISATION: NEOURETHRA COMPLETED

PLACEMENT OF THE NEOURETHRA INTO A DEEP GROOVE CREATED BY Y SHAPED  INCISION ON THE GLANS


THIRD LAYER TUNICA VAGINALIS COVER AFTER DARTOS COVERAGE

FINAL PHOTOGRAPH

DIAGRAMMATIC REPRESENTATION OF THE LATERAL FLAP TECHNIQUE: ONLY DIFFERENCE WE FOLLOW IS PUTTING TUNICA VAGINALIS COVERAGE
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1 comment:

  1. VacurectNovember 1, 2014 at 2:22 AM

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