BACKGROUND: @entity2650 is a common @entity154 . Over 300 techniques have been described for repairing @entity2650 . OBJECTIVE: Eccentric circummeatal based flap with combined limited urethral mobilization technique ( @entity30080 ) is a simple procedure to repair @entity2650 with minimal complication rate. This study presents results of this technique, highlighting surgical pitfalls to achieve the best result. STUDY DESIGN: Medical records of @entity1 with @entity2650 operated on using the same technique between 1998 and 2011 were reviewed retrospectively. Age at surgery, position of meatus preoperatively and postoperatively, duration of urethral catheterization and hospitalization, early and late complications, @entity2650 repairs, and secondary surgical interventions were evaluated. In the surgical technique an eccentric circummeatal based flap is outlined. The proximal part of the flap is dissected from the underlying urethra and Buck's fascia. If the flap is not long enough, the distal urethra is mobilized a few millimeters (Figure). The eccentric flap is sutured to the tip of the glans. The glans wings are approximated in the midline. A urethral catheter of 6 Fr or 8 Fr is passed and left in the bulbous urethra or the urinary bladder. Diverged limbs of corpus spongiosum are approximated on the urethra, then, the glans and skin of the penile shaft are sutured. RESULTS: Of the 171 consecutive @entity1 operated on using the @entity30080 technique; 115 had coronal, 47 had subcoronal, and nine had glanular meatus. The mean age at surgery was 4.5 (1-17) years. @entity1 were hospitalized for 2.2      0.7 days. Mean duration of urethral catheterization was 2.3      0.5 days. All but eight @entity1 had ECBF- @entity30080 as primary repair. There were no early complications such as @entity548 , @entity1410 , and wound @entity281 . All @entity1 voided spontaneously after catheter removal. Late complications were @entity850 , urethrocutaneous @entity292 , meatal regression, and glandular dehiscence (Table). These @entity1 were treated using dilatation, @entity292 repair, meatoplasty, and secondary repair with the same technique, respectively. Eventually all @entity1 had a vertical slit-like meatus on the tip of a natural looking glans. DISCUSSION: The most commonly used @entity2650 repair techniques are glanular approximation, meatal advancement and glanuloplasty, Koff, Mathieu, Thiersch-Duplay procedure, tubularized incised plate repairs, and modifications of these techniques. Cosmetic and functional results and complication rates of @entity30080 technique are comparable with those of the commonly used techniques.

Eccentric circummeatal based flap with limited urethral mobilization: An easy technique for XXXX repair.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity154 :: ('MESH:D000013', 'Disease') :: ['congenital anomaly'] @entity2650 :: ('MESH:D007021', 'Disease') :: ['distal hypospadias', 'previous hypospadias', 'Hypospadias', 'hypospadias'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity30080 :: ('4060', 'Gene') :: ['LUM', 'ECMB-LUM'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity850 :: ('MESH:D003251', 'Disease') :: ['meatal stenosis']
@entity2650 :: (MESH:D007021,Disease) :: ['distal hypospadias']
