2018, Number 3
An Med Asoc Med Hosp ABC 2018; 63 (3)
Rodríguez WLO, Martínez RMR, Piña RLD, Velázquez VC
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ABSTRACTHypospadias is a congenital anomaly of the urogenital system managed through several procedures: more than 300 have been described in the literature. However, they are associated with complications such as fistulas and stenosis. Repeated attempts at the surgical repair of hypospadias may leave the penis scarred, hypovascular and short. The use of oral mucosa to repair penile and bulbar urethral stenosis was first described in 1993. Today, oral mucosa is considered ideal due to its structural characteristics, which make it a versatile tissue, adaptable for urethral reconstructive surgery. The two-stage Bracka correction for the repair of hypospadias is a versatile technique applicable to all varieties of hypospadias, mainly the severe ones and those that present complications. A staggered repair is performed, with a full-thickness free buccal mucosal graft. This will serve as a neourethral plate, with a reconstruction of the urethra six months later. This is a reliable method for the functional reconstruction; in addition, it provides a good aesthetic and an almost normal appearance of the penis.