Objective: To Explore the effect of oblique preputial island flap for the treating of hypospadias.

Methods: Fifty-one patients were performed one-stage urethroplasty with oblique preputial island flap to repair hypospadias.

Results: All cases resulted in a good contour of the penis without any redundancy and a normal anatomic position of slit-shaped urethral meatus. The urination was perfect. Six patients occurred complications (3 cases of urinary fistula, 3 cases of meatal stenosis).

Conclusion: With extensive scope of materials, reliable blood supply of skin flap, satisfactory appearance of shaping penis and few complications, one-stage urethroplasty with oblique preputial island flap is an effective method to repair hypospadias of penile type and penile-scrotal type.

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Article Synopsis
  • The study focuses on enhancing the transverse preputial island flap (TPIF) surgery technique for severe hypospadias repairs by introducing a modified urethral anastomosis method called wide-based oblique anastomosis (WOA).
  • Data was gathered from 72 patients who underwent this modified procedure, showing a 20.8% complication rate, primarily involving fistulas and urethral diverticula, but no instances of urethral stricture occurred.
  • The findings suggest that the WOA technique is a simple and effective approach that improves the surgical outcomes and reduces the risk of specific postoperative complications.
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Objective: Circumcision, by most conventional methodologies, involves division of the frenulum and excision of the entire foreskin covering the glans. This seemingly simple procedure is occasionally associated with dreadful and devastating complications. We describe a new frenulum-sparing technique that circumvents some of the potential complications of conventional techniques and could also potentially help preserve preputial role in sexual function.

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To describe a modification of tubularized incised plate (TIP) urethroplasty which we refer to as "frenuloplasty". We retrospectively reviewed 155 children who underwent TIP urethroplasty between June 2008 and August 2011 in our institution. In our technique, the circumcision incision went on through the mucocutaneous junction obliquely in order to form frenular wings instead of linear circumscribing incision joined the urethral plate vertically.

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New Technique for the Treatment of Buried Penis in Children.

Urology

February 2016

Department of Urinary Surgery, Children's Hospital, Ministry of Education Key Laboratory of Child Development and Disorder, Key Laboratory of Pediatrics in Chongqing (CSTC2009CA5002), Chongqing Medical University, Chongqing, China. Electronic address:

Objective: To present our treatment experience of buried penis, which has no consensus therapeutic technique for all cases of buried penis, by using a new technique for the repair of this condition, in which the approach is through the ventral penile root.

Materials And Methods: We performed a retrospective review of 153 patients (median age: 6.5 years) who underwent repair of a buried penis between March 2005 and March 2013.

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Glans amputation during routine neonatal circumcision: mechanism of injury and strategy for prevention.

J Pediatr Urol

December 2013

Division of Urology, The Hospital for Sick Children and University of Toronto, 555 University Ave. Rm M299, Toronto, ON M5G 1X8, Canada. Electronic address:

Objective: Glans injury during circumcision is an uncommon yet potentially devastating complication. Its mechanism remains poorly understood. Herein we critically evaluate a case series and, based on common characteristics, hypothesize the mechanism of injury as well as means to prevent it.

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