The island tube and island onlay hypospadias repairs offer excellent long-term outcomes: a 14-year followup

The Journal of Urology
Rakesh P PatelHoward M Snyder

Abstract

We have used an inner preputial flap as a transverse island tube (IT) for the 1-stage repair of proximal hypospadias when the urethral plate could not be preserved and as an island onlay flap (IO) when the urethral plate could be preserved for more than 20 years at our institution. We report long-term followup and an outcome comparison of these 2 techniques. We retrospectively reviewed our records for all patients who underwent proximal hypospadias repair with either the IT or IO procedure between 1981 and 1992 by 1 surgeon (HMS). We randomly contacted these former patients to undergo a long-term followup examination, consisting of postoperative history, physical examination and uroflowmetry with post-void residual measurement. A review of patient charts was completed for perioperative complications or the need for secondary procedures. Patient information could be retrieved for 73 of 125 patients who underwent penoscrotal or more severe hypospadias repair with either the IT or IO procedure during the defined interval. We were able to contact 49 of these former patients following a minimum of 10 years and 30 patients agreed to return for a long-term followup examination. The IT and IO repairs were performed on 14 and 16 boys, r...Continue Reading

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Citations

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