Reverse Pedicle Flap as a Barrier Layer for Circumcised Patients with Megameatus Hypospadias

Intact prepuce megameatus hypospadias is seen in approximately 5 % of all hypospadias cases. Unfortunately, many of these children are inadvertently circumcised at birth creating a dilemma for obtaining good barrier layer coverage at the time of surgical repair. Hill and Waxman etal described a novel way to provide coverage in the form of a reverse pedicle flap that is presented in this video. Over the past year 6 boys with megameatus variant hypospadias presented to our service in a circumcised state.
Source: Journal of Pediatric Urology - Category: Urology & Nephrology Authors: Tags: Video Bank Source Type: research