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2008, Number 2

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Rev Mex Cir Pediatr 2008; 15 (2)

Flap double tubularizado extensive in the urethral defects severe. Outline of a case

Hernandez-Aguilar G, Miguel-Gomez RD, Landa-Juarez S, Zaldivar-Cervera J, López-Flores SY
Full text How to cite this article

Language: Spanish
References: 5
Page: 83-86
PDF size: 109.22 Kb.


Key words:

Hypospadias, Urethroplasty.

ABSTRACT

Introduction: The reconstruction of urethral defects severe enough tissue must have good quality, adequately vascularized. We present a unique technique in extensive urethral reconstruction.
Case report: Men’s 4 years, with duplication of urethra in “Y” as classified by Effmann characterized by perineal hypospadias and fibrotic penile urethra. The reconstruction consisted of two phases, the first was to create the neo-urethra with a tubularized island flap extensive probe endless. The second is urethral anastomosis.
Discussion: The successful reconstruction of the urethra depends mainly on the quantity, quality, vascularity and mastery of surgical technique The aim is mainly to create a tube to ensure neourethra vascularized second, avoid the use of grafts, the usefulness of the third probe endless tube quiescent conditions, permeability, fourth avoid trauma to the neo-urethra urine flow.


REFERENCES

  1. Gearhart J, Rink R, Mouriquand C, Pediatric Urologia, 2001: 607-619

  2. Soutis M, Papandreou E, Mavridis G, et al. Multiple failed urethroplasties. Definitive repair with the Duckett Island-flap Technique. J Ped Surg 2003,38:1633-636.

  3. Duckett JW. Transverse preputial island flap technique for repair of severe hypospadias. Urol Clin North Am 1980;7:423-431.

  4. Landa JS, Hernández AG, Ruedas DA. Uretroplastia con injerto de mucosa bucal. Bol. Col. Mex. Urol1994;11:196-200.

  5. Hernández AG, Landa JS, Zaldivar CJ. Uretroplastía en dos tiempos con injerto de mucosa bucal en hipospadias multioperados. Rev. Mex. Cir. Ped 2002;9 (3);149-152.




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Rev Mex Cir Pediatr. 2008;15