Hellow guys, Welcome to my website, and you are watching second stage repair of proximal penile hypospadias after first stage byars flaps tips to achieve suc. and this vIdeo is uploaded by ALEXURO قسم جراحه المسالك البوليه جامعه الأسكندريه at 2018-05-19T13:39:03-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | second stage repair of proximal penile hypospadias after first stage byars flaps tips to achieve suc |
| Video Uploader | Video From ALEXURO قسم جراحه المسالك البوليه جامعه الأسكندريه |
| Upload Date | This Video Uploaded At 19-05-2018 20:39:03 |
| Video Discription | repair of proximal penile hypospadias (PPH) is a continuous dilemma. Single stage versus two stage repairs and even in two stage repair multiple procedures were described. Till current time, the first stage is sometimes performed by transaction of the plate and rotation of perpetual skin by Bayar's flaps. Important tips during second stage are needed to guarantee successful repair Patient and methods: 2, 5 year old boy operated by other surgeon for PPH at age of one year, the first surgery did not involve preparation of the glans for the second stage. Inclusion dermoid cyst was removed at the beginning then wide U flap is dissected carefully not to endanger blood supply coming laterally, the upper limit stops at the coronal sulcus, interrupted subcuticular 6/0 vicryl first and second layer, tunica vaginalis cover, subcuticular skin closure using monocryl 6/0 suture, urethral drainage silicone catheter for 10 days. Results: After a follow up period of 6 months, no meatal stenosis nor fistula formation nor urethral diverticulum is encountered. Conclusion: Respecting vascularity, interrupted intradermal sutures, wide plate, wide meatus even if not apical in the glans, second layer tunica vaginalis can guarantee successful second stage repair. |
| Category | Education |
| Tags | Haytham BADAWY | Khaled REFAAI | Walid DAWOOD | Amr KAMAL | Ahmed ABULFOTOOH |
