+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Sleeve advancement distal hypospadias repair

Sleeve advancement distal hypospadias repair

Journal of Urology 144(2 Pt 2): 523-5; Discussion 530

We report the technique and late results of a procedure for selected cases of distal hypospadias called sleeve advancement urethroplasty. This procedure incorporates correction of chordee, distal urethral mobilization and glans plasty in patients with coronal or distal subcoronal hypospadias. A total of 69 boys underwent this procedure at our institution: 59 as a primary repair and 10 for correction of meatal retraction after a previous failed reconstruction. Cosmetic results were excellent in most patients. Complications included meatal retraction in 2 patients and mild meatal stenosis in 2 in the primary repair group, and meatal stenosis in 3 (with associated fistula in 1) in the secondary repair group. Although not a replacement for meatal-based flap procedures, and more tedious to perform than the meatal advancement and glanuloplasty procedure, we have been impressed with the superior cosmetic results and minimal morbidity of the sleeve advancement urethroplasty.

(PDF emailed within 0-6 h: $19.90)

Accession: 033411549

Download citation: RISBibTeXText

PMID: 2374233

DOI: 10.1016/s0022-5347(17)39511-3

Related references

Urethral sleeve advancement in repairement of distal hypospadias. Archivio Italiano di Urologia, Andrologia 68(2): 103-105, 1996

Sleeve advancement a new procedure for subcoronal hypospadias repair. Journal of Urology 135(4 PART 2): 105A, 1986

Urethral advancement technique for repair of distal hypospadias. European Urology 17(1): 40-42, 1990

Distal hypospadias repair by urethral sliding advancement and Y-V glanuloplasty. Journal of Urology 146(2 ): 644-646, 1991

Modified meatal advancement and glanuloplasty repair of distal hypospadias. Journal of Urology 131(6): 1140-1141, 1984

Urethral advancement for distal hypospadias repair in circumcised patients. Plastic and Reconstructive Surgery 70(4): 496-504, 1982

Meatal and corpus spongiosum advancement: a better technique for distal hypospadias repair. Pediatric Surgery International 29(6): 633-638, 2014

Urethral advancement and granuloplasty UAGP vs. MAGPI for distal hypospadias repair. International Urology & Nephrology 29(6): 681-686, 1997

Urethral advancement for distal hypospadias repair, indications, techniques and results. Acta Urologica Belgica 58(1): 159-161, 1990

Distal hypospadias repair Sagittal advancement of glandular aisles A modified glanduloplasty. Journal of Urology 149(4 SUPPL ): 188A, 1993

A new technique for distal hypospadias repair: advancement of a distally deepithelialized urethrocutaneous flap. Plastic and Reconstructive Surgery 112(3): 840-843, 2003

Urethral advancement versus free skin graft or preputial vascularized flap for distal hypospadias repair in circumcised patients. Hinderer, U T (Ed ) International Congress Series, No 936 Plastic Surgery , Vol Ii Free Papers; X Congress Of The International Confederation For Plastic And Reconstructive Surgery, Madrid, Spain, June 28-July 3, Xxi+926p Elsevier Science Publishers B V : Amsterdam, Netherlands; New York, New York, Usa Illus 873-875, 1992

Distal hypospadias repair by the modified Thiersch-Duplay technique with or without hinging the urethral plate: A near ideal way to correct distal hypospadias. Journal of Urology 162(3 PART 2): 1156-1158, Sept, 1999