OBJECTIVES: To report our preliminary institutional experience of incorporating a tunica vaginalis @entity1912 (TVF) as an adjunct into primary or @entity7890 repair. METHODS: A prospectively maintained institutionally-approved database of exstrophy- @entity7890 complex @entity1 was used to identify and retrospectively review male @entity1 who @entity7890 repair from September 2010 to October 2014 at the authors' institution. @entity1 who @entity7890 repair with TVF were identified and their clinical outcomes were measured. RESULTS: A total of 49 male @entity1 were identified meeting inclusion criteria, of which 15 (2 @entity7890 , 13 classic @entity1494 ) @entity7890 repair incorporating a TVF. Median age at time of repair was 12 months (IQR 10-15.5). A median of 4 layers (IQR 4-5) was incorporated into each repair closure, applying Evicel   fibrin sealant as an additional layer in all @entity1 . All @entity1 received pre-operative @entity251 injection therapy, 2 mg/kg five and two weeks before surgery for penile growth. There were no intra-operative complications. Median follow-up of 19 months (IQR 12-23) revealed 5 @entity1 who @entity7890 revision, 3 (20%) of which developed a urethrocutaneous @entity292 . All had a successful repair without recurrence. CONCLUSION: The authors have found utilization of a TVF with @entity7890 repairs to be beneficial, but no better than the repair with our routine soft tissue coverage in @entity7890 repair. However, in @entity1 presenting with complex anatomy and limited tissue reserves, TVF is an important adjunct to @entity7890 repair and/or revision and may lend to improved outcomes.

The Tunica Vaginalis XXXX as an Adjunct to Epispadias Repair: a Preliminary Report.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity251 :: ('MESH:D013739', 'Chemical') :: ['testosterone'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder exstrophy'] @entity1912 :: ('241', 'Gene') :: ['flap'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity7890 :: ('MESH:D004842', 'Disease') :: ['primary epispadias', 'epispadias', 'underwent epispadias', 'isolated epispadias', 'secondary epispadias']
@entity1912 :: (241,Gene) :: ['Flap']
