International Scientific Surgical Association

The First International Scientific Teleconference

"new technologies in medicine - 2004"

M.Yazici, E.Copcu, B.Etensel, N.Culhaci, M.Balkaya, S.Özkisacik, H.Gursoy

The new technique in the treatment of hypospadias: Tubularization by Double Vertical Incision

Adnan Menderes University, Aydin, TURKEY

ABSTRACT

Introduction: Tubularization is one of the indispensable practices of reconstructive surgery, especially in the repair of hypospadias. In all procedures of forming a tube, the desired diameter should be reached without any complication.

Materials and Methods: We used as a new technique �double vertical incision� in 8 rabbits and compared it with free skin graft, local flap and single vertical incision. We formed 32 tubes randomly around an 8F catheter using 7/0 PDS suture. Twenty-one days after the operation, the tubes were taken, randomized to staining with Hematoxylene Eosin and Masson Trichrome and then subjected to histopathologically examination. Inflammation, fibrosis and lumen diameter were statistically evaluated.

Results: Widest lumen diameters were found in double incision group and this result was statistically different when the compared with results of other groups (p<0.001).

Conclusions: Double vertical incision is promising in that it is easier to perform, provides a desired amount of tissue in cases in which the urethral bed is narrow, and causes no scar. Based on our results we obtained, we applied double vertical incision, a modification of tubularized incised plate urethroplasty popularized by Snodgrass, in four patients. The tubes were not distended, their long term follow-up showed no complication and a urethra at the desired diameter was obtained.

 Key words: hypospadias, vertical incision, double, lumen diameter

Yazici M., Copcu E., Etensel B. et al. The new technique in the treatment of hypospadias: Tubularization by Double Vertical Incision  // Новые технологии в медицине: Сб. докл. Первой международной дистанционной науч.-практ. конф., Санкт-Петербург, 15-30 марта 2004 г. � СПб, 2004. � С. 75-78

E-mail: copcu@mailcity.com

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