Hypospadias. Onlay technique
Rodó Salas, J.; Perero Intriago, M.; Castañón García-Alix, M.; Morales Fochs, L.
Cirugia Pediatrica Organo Oficial de la Sociedad Espanola de Cirugia Pediatrica 7(4): 179-181
1994
ISSN/ISBN: 0214-1221 PMID: 7865363 Document Number: 434572
The "onlay" urethroplasty is based technically on the following principles: movilization of the urethral plate without dividing it, complete exeresis of chordee beneath it and use of a double faced mucocutaneous vascularized flap from the dorsal aspect rotated to the ventral aspect of penis. Several advantages over other technical modalities make its applicability possible in almost all varieties of hypospadias even in those with severe incurvature. Up to date we have used this technique in 9 patients between 2 and 3 years of age with proximal and middle hypospadias and in one with a considerable middle third fistula, without complications.