double layer suturing method repair of the urethral plate
in the rabbit model of hypospadias.
In the second stage, urethral plate
Although recently a new one-stage technique that involves a deeply longitudinal midline incision of the urethral plate
and the suturing of buccal mucosal tissue as an inlay graft into the bed obtained within the urethral plate
has been described by different authors, the long-term results in a large series of patients treated with this new one-stage penile graft urethroplasty are not available in the current literature .
Ventrally, the wide and undeveloped urethral plate
is dissected from the clitoral bodies.
The choice of the procedure is based on the characteristics of the urethral plate
irrespective of the meatal location.
Effect of suturing technique and urethral plate
characteristics on complication rate following hypospadias repair: a prospective randomized study.
The approaches to hypospadias surgery has changed over the decade since the identification of the urethral plate
as an anatomical entity and this has simplified this surgery.
The urethral plate
is incised dorsally and spread fixed to the corpus cavernosum.
Tubularisation of urethral plate
was done over an optimal sized catheter using 5-0 polyglactin suture.
In the supine position, we first performed an incision originating from superior of the umbilicus and enlarged through the adjacent part of the exstrophic bladder mucosa and extended to the paraexstrophic skin to the urethral plate
The urethral plate
was incised, penile shaft degloved, and the penis was assessed for curvature.
The basic steps included degloving the penile shaft, and excising of tethering tissue lateral to the urethral plate
. An artificial erection was performed in all cases to ensure straight penis and any residual chordee corrected.