Results of 265 consecutive proximal hypospadias repairs using the Thiersch-Duplay principle. Academic Article uri icon

Overview

abstract

  • PURPOSE: We review the evolution of the concept of tubularization of the urethral plate and our results in the repair of proximal hypospadias. MATERIALS AND METHODS: A total of 281 children born with proximal hypospadias underwent Thiersch-Duplay urethroplasty with or without a midline incision of the urethral plate between 1989 and 1998. Followup data were available in 265 children. RESULTS: Excellent functional and cosmetic results were achieved in 88.7% of the patients. The use of either a dartos or tunica vaginalis flap to waterproof the urethral suture line resulted in a decrease in the fistula rate from 17% to 1.8%. CONCLUSIONS: The principles of Thiersch-Duplay urethroplasty represent the basic foundation for surgical techniques that use the urethral plate to construct a urethral tube. The use of this principle in the repair of proximal hypospadias compares favorably with other methods.

publication date

  • December 1, 2004

Research

keywords

  • Hypospadias
  • Urethra

Identity

Digital Object Identifier (DOI)

  • 10.1097/01.ju.0000143880.13698.ca

PubMed ID

  • 15538273

Additional Document Info

volume

  • 172

issue

  • 6 Pt 1