Indian Journal of Urology Users online:11742  
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size
Year : 2006  |  Volume : 22  |  Issue : 4  |  Page : 326-328

Preservation of urethra devoid of corpus spongiosum in patients undergoing urethroplasty

Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi - 110 002, India

Correspondence Address:
Y K Sarin
Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi - 110 002
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.29115

Rights and Permissions

Introduction: Hypospadias repair is done in many centers using tubularized incised plate urethroplasty technique. A varying length of distal urethra in almost one-fourth of patients is devoid of corpus spongiosum. Traditionally, this segment is incised proximally till 'healthy' urethra is reached. It makes hypospadias more proximal and thus increases chances of failure. Materials and Methods: We tried to preserve this thin so-called "hypoplastic" urethra in nine patients. The meatus was distal penile in four, mid-penile in four and proximal penile in one patient. Another patient with chordee without hypospadias with hypoplastic urethra underwent chordee correction without sacrificing any length of urethra. Results: No residual chordee was seen in any of the patients. Only two patients (22%) developed subcoronal fistulas needing secondary repair. No patient had urethral diverticulum or stricture. Conclusions: We thus recommend preservation of hypoplastic urethra whenever possible.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded191    
    Comments [Add]    
    Cited by others 4    

Recommend this journal