FREE FULLTHICKNESS SKIN GRAFT FOR ONE STAGE HYPOSPADIAS REPAIR

Abstract

Although staged hypospadias repair is still common in Japan, one stage hypospadias repair has gained popularities in recent years. Up to now, we experienced one stage repair using free fullthickness skin graft in 21 cases of hypospadias or short urethra. At first, we encountered complications such as fistula or stricture, but we have made much improvement in some points of device, which are;
(1) careful technique with fine suture and fine instrument under magnifying loupes.
(2) creation of wide anastomosis sites.
(3) creation of a new meatus by putting the distal skin tube in the glans.