Total Preputial Flap: A Reliable and Versatile Technique for Urethral and Penile Reconstruction

Abstract

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Abstract. We revisit the technique of total preputial flap (TPF) and its application for urethroplasty, penile skin coverage of both and present our results in 43 patients. (41 hypospadias, 2 epispadias). There were no instances of flap necrosis. In patients without prior attempts at reconstruction (n=36) we observed 4 urethro-cutaneous fistulas. TPF allowed the repair of cases of proximal hypospadias in one stage with an acceptable complication rate.

Keywords

• Epispadias
• Hypospadias
• preputial flap
• onlay urethroplasty
• chordee
• island flap