OBJECTIVE: To compare the outcome of a single vs. a double-layer dartos interposition for preventing a @entity292 after tubularised incised-plate (TIP) @entity2650 repair. @entity1 AND METHODS: We retrospectively reviewed the records of @entity1 with primary @entity2650 who had the @entity2650 repaired between February 2009 and June 2011, operated by one surgeon (S.A.K.). In all of the @entity1 a standard TIP urethroplasty was performed, which was covered by a @entity4438 fashioned using one of two techniques, i.e. in Group I (48 @entity1 ) double dartos preputial flaps were used, and in Group II (52 @entity1 ) a single dorsal dartos flap was used and transposed ventrally via a 'buttonhole'. The @entity292 rate and other complications related to each group were recorded. RESULTS: The mean (range) follow-up was 12 (6-22) months for Group I and 14 (6-24) months for Group II. The result was considered a success in 96% of Group I and 92% of Group II. In Group I there were no fistulae, while in Group II there were four fistulae (8%) detected; this difference was statistically insignificant (P  =  0.1). @entity850 was associated with a @entity292 in one @entity1 in Group II but not in the other three. In Group I a meatal stenosis developed late after complete healing of the urethroplasty, with no associated @entity292 . The repair broke down in one @entity1 in Group I (2%). CONCLUSION: A double-dartos neourethral cover in @entity2650 repair seems to be more effective than a single layer for preventing a @entity292 , despite there being no statistically significant difference between the groups. However, the protective effect of double-dartos flaps must be appropriately evaluated in a prospective, randomised and controlled study in more @entity1 .

Single vs. double dartos layers for preventing XXXX in a tubularised incised-plate repair of @entity2650 .

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient', 'PATIENTS'] @entity2650 :: ('MESH:D007021', 'Disease') :: ['distal hypospadias', 'TIP hypospadias', 'hypospadias'] @entity4438 :: ('MESH:C563219', 'Disease') :: ['dartos fascial flap'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity850 :: ('MESH:D003251', 'Disease') :: ['Meatal stenosis']
@entity292 :: (MESH:D005402,Disease) :: ['fistula']
