DOI: 10.36347/sjams.2015.v03i03.109

Pages: 1570-1573

There is growing interest in preputial reconstruction combined with hypospadias repair as an effective technique. The objective of the following study is to assess the outcome of treatment with tunica vaginalis flap in cases of distal penile hypospadias repair with preputioplasty. We evaluated 38 males during a period of four years that underwent distal hypospadias repair combined with preputioplasty with tunica vaginalis flap to determine complications, risks and failures. Group one included cases with tunica vaginalis flap and group two included cases without it. A total of 38 procedures were done, of which 20 patients underwent distal penile hypospadias repair with preputioplasty with tunica vaginalis flap (group I), while 18 patients underwent simple urethroplasty with preputioplasty (group II). In group I one patient (5%) developed fistula, while in group II four patients (22%) developed fistula. In group I, in one patient, testis was tethered to higher level in standing position. In others, testicular mobility was normal in scrotal sac during follow up. Tunica vaginalis flap is highly effective method to provide stable and vascularised flap to cover neourethra and leave undisturbed prepuce for successful reconstruction.