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• W1995464551 abstract "No AccessJournal of UrologyChordee/Hypospadias/Penile Reconstruction1 Sep 1998THE KOYANAGI-NONOMURA 1-STAGE BUCKET REPAIR OF SEVERE HYPOSPADIAS WITH AND WITHOUT PENOSCROTAL TRANSPOSITION KENNETH I. GLASSBERG, FAITH HANSBROUGH, and MARK HOROWITZ KENNETH I. GLASSBERGKENNETH I. GLASSBERG More articles by this author , FAITH HANSBROUGHFAITH HANSBROUGH More articles by this author , and MARK HOROWITZMARK HOROWITZ More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62710-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report our experience with 1-stage Koyanagi-Nonomura hypospadias repair, which may be performed even when penoscrotal transposition is present. Repair involves bilateral parameatal skin flaps based on the meatus and urethral plate. Materials and Methods: A total of 14 boys 10 to 20 months old underwent 1-stage Koyanagi-Nonomura repair for severe hypospadias. The meatus was proximal to the penoscrotal junction in all patients, and in 8 penoscrotal transposition was corrected during the same operation. Results: In 7 of the 14 boys 1 or more fistulas developed that were subsequently repaired. In all cases the fistula was on the proximal shaft and/or penoscrotal junction. In no case was there stenosis or breakdown of the distal neourethra. Conclusions: The Koyanagi-Nonomura 1-stage repair provides excellent cosmetic results in severe hypospadias while preserving the available urethral plate tissue. It is particularly suitable when there is associated penoscrotal transposition. Most if not all 1-stage repairs are inappropriate in patients with severe hypospadias and penoscrotal transposition. In other repairs vascular supply to Byar's flaps and the neourethra may be compromised by mobilization of the anteriorly transposed scrotal tissue. We expect that the fistula rate will decrease with experience but now it is acceptable, considering the severity of hypospadias. References 1 : Augmented Duckett repair for severe hypospadias. J. Urol.1987; 138: 380. Link, Google Scholar 2 : One-stage repair of perineal hypospadias and scrotal transposition. Eur. Urol.1984; 10: 364. Google Scholar 3 : Surgical correction of incomplete peno-scrotal transposition. Sem. Urol.1973; 110: 603. Abstract, Google Scholar 4 : Surgical correction of scrotal transposition and perineal hypospadias. J. Ped. Surg.1982; 17: 175. Google Scholar 5 : One-stage total repair of severe hypospadias with scrotal transposition: experience in 18 cases. J. Ped. Surg.1988; 23: 177. Google Scholar 6 : Experience with one-stage repair of severe proximal hypospadias: operative technique and results. Eur. Urol.1993; 24: 106. Google Scholar 7 : Operation for severe hypospadias. Brit. Med. J.1900; 2: 1432. Google Scholar From the Division of Pediatric Urology, State University of New York Health Science Center at Brooklyn, Brooklyn, New York, and Division of Pediatric Surgery, Louisiana State University, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMokhless I, Kader M, Fahmy N and Youssef M (2018) The Multistage Use of Buccal Mucosa Grafts for Complex Hypospadias: Histological ChangesJournal of Urology, VOL. 177, NO. 4, (1496-1500), Online publication date: 1-Apr-2007.LAM P, GREENFIELD S and WILLIOT P (2018) 2-STAGE REPAIR IN INFANCY FOR SEVERE HYPOSPADIAS WITH CHORDEE: LONG-TERM RESULTS AFTER PUBERTYJournal of Urology, VOL. 174, NO. 4 Part 2, (1567-1572), Online publication date: 1-Oct-2005.DeFOOR W and WACKSMAN J (2018) Results of Single Staged Hypospadias Surgery to Repair Penoscrotal Hypospadias With Bifid Scrotum or Penoscrotal TranspositionJournal of Urology, VOL. 170, NO. 4 Part 2, (1585-1588), Online publication date: 1-Oct-2003.Gershbaum M, Stock J and Hanna M (2018) A Case For 2-stage Repair of Perineoscrotal Hypospadias With Severe ChordeeJournal of Urology, VOL. 168, NO. 4 Part 2, (1727-1729), Online publication date: 1-Oct-2002.PINKE L, RATHBUN S, HUSMANN D and KRAMER S (2018) PENOSCROTAL TRANSPOSITION: REVIEW OF 53 PATIENTSJournal of Urology, VOL. 166, NO. 5, (1865-1868), Online publication date: 1-Nov-2001.BAKER L, MATHEWS R and DOCIMO S (2018) RADICAL BULBAR DISSECTION TO CORRECT SEVERE CHORDEE AND PROXIMAL HYPOSPADIASJournal of Urology, VOL. 164, NO. 4, (1347-1349), Online publication date: 1-Oct-2000.KOLLIGIAN M, FRANCO I and REDA E (2018) CORRECTION OF PENOSCROTAL TRANSPOSITION: A NOVEL APPROACHJournal of Urology, VOL. 164, NO. 3 Part 2, (994-997), Online publication date: 1-Sep-2000.EMIR H, JAYANTHI V, NITAHARA K, DANISMEND N and KOFF S (2018) MODIFICATION OF THE KOYANAGI TECHNIQUE FOR THE SINGLE STAGE REPAIR OF PROXIMAL HYPOSPADIASJournal of Urology, VOL. 164, NO. 3 Part 2, (973-976), Online publication date: 1-Sep-2000. Volume 160Issue 3 Part 2September 1998Page: 1104-1107 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information KENNETH I. GLASSBERG More articles by this author FAITH HANSBROUGH More articles by this author MARK HOROWITZ More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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