Onlay island flap urethroplasty

Variation on a theme

John Phillip Gearhart, R. N. Borland

Research output: Contribution to journalArticle

Abstract

The onlay island flap urethroplasty is useful in patients with distal, mid shaft and proximal hypospadias who have a well developed urethral plate and exhibit little or no curvature after release of chordee. The technique described has 2 main features: 1) use of the entire inner prepuce of the foreskin facilitates its mobilization and protects the vascular pedicle, and 2) additional soft tissue coverage is gained by removing the excess preputial mucosa not used for the neourethra. This extra soft tissue covering of the suture lines should prevent fistula formation. During the last 4 1/2 years the onlay island flap has been used for repair of hypospadias in 61 patients. The complication rate (6%) is low and compares favorably with other techniques. Further refinements in the onlay flap hypospadias repair should decrease the complication rate and widen its applicability.

Original languageEnglish (US)
Pages (from-to)1507-1509
Number of pages3
JournalJournal of Urology
Volume148
Issue number5 I
StatePublished - 1992

Fingerprint

Inlays
Hypospadias
Surgical Flaps
Foreskin
Sutures
Fistula
Blood Vessels
Mucous Membrane

Keywords

  • hypospadias
  • inlays
  • penis
  • surgical flaps
  • urethra

ASJC Scopus subject areas

  • Urology

Cite this

Onlay island flap urethroplasty : Variation on a theme. / Gearhart, John Phillip; Borland, R. N.

In: Journal of Urology, Vol. 148, No. 5 I, 1992, p. 1507-1509.

Research output: Contribution to journalArticle

Gearhart, JP & Borland, RN 1992, 'Onlay island flap urethroplasty: Variation on a theme', Journal of Urology, vol. 148, no. 5 I, pp. 1507-1509.
Gearhart, John Phillip ; Borland, R. N. / Onlay island flap urethroplasty : Variation on a theme. In: Journal of Urology. 1992 ; Vol. 148, No. 5 I. pp. 1507-1509.
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