PURPOSE: To retrospectively analyze the results of a modification of the Koyanagi hypospadias repair developed to reduce complications. MATERIALS AND METHODS: Twelve boys underwent a modified Koyanagi repair over the past 3 years. The technique included the preservation of a wide vascular pedicle for each parameatal flap. The distal urethral plate was left intact and attached on each lateral side to the medial side of each distal Koyanagi pedicle flap. RESULTS: One boy (8%) developed a urethral fistula. There was no instance of meatal stenosis, sacculation or urethral stricture. CONCLUSIONS: Modifying the Koyanagi repair by preserving a wide vascular pedicle for the distal skin flaps and utilizing the distal urethral plate as the base for the distal neourethra has lowered the incidence of complications. This technique is a suitable alternative to a two-stage approach for the correction of proximal hypospadias.
PURPOSE: To retrospectively analyze the results of a modification of the Koyanagi hypospadias repair developed to reduce complications. MATERIALS AND METHODS: Twelve boys underwent a modified Koyanagi repair over the past 3 years. The technique included the preservation of a wide vascular pedicle for each parameatal flap. The distal urethral plate was left intact and attached on each lateral side to the medial side of each distal Koyanagi pedicle flap. RESULTS: One boy (8%) developed a urethral fistula. There was no instance of meatal stenosis, sacculation or urethral stricture. CONCLUSIONS: Modifying the Koyanagi repair by preserving a wide vascular pedicle for the distal skin flaps and utilizing the distal urethral plate as the base for the distal neourethra has lowered the incidence of complications. This technique is a suitable alternative to a two-stage approach for the correction of proximal hypospadias.
Authors: Tuan Hong Vu; Hoa Viet Nguyen; Quan Quy Hong; Hung Quang Pham; Tung Thanh Pham; Đang Hai Do; Thanh Đo Truong Journal: Ann Med Surg (Lond) Date: 2021-11-02