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- W2041733715 abstract "We report a new technique for epispadias repair, which relies on the unique blood supply of the corpus cavernosum and glans. The epispadiac phallus is completely disassembled into 3 discrete components: the urethral plate, and the right and left hemicorporeal glandular bodies.Ten boys 10 months to 17 years old presented for repair of epispadias between 1990 and 1994 (6 primary and 4 secondary repair). One patient underwent bladder exstrophy closure at the time of epispadias surgery. Two patients underwent prior para-exstrophy flap procedures and neither had fistulas.Followup (8 to 57 months) revealed a conical glans in 8 patients, straight shaft upward in 1 and ventral orthotopic meatus in 7. In 2 patients who underwent secondary repair 3 fistulas formed that were repaired on an outpatient basis. All patients are potent.Complete disassembly allows tubularization and ventralization of the entire distal urethra; makes glans and urethral repair independent; separates the 2 corporeal glandular bodies, permitting easier and more complete release of the rotation contributing to dorsal chordee, and improves exposure for corporotomy or dermal grafts." @default.
- W2041733715 created "2016-06-24" @default.
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- W2041733715 date "1996-01-01" @default.
- W2041733715 modified "2023-10-13" @default.
- W2041733715 title "Complete Penile Disassembly for Epispadias Repair: The Mitchell Technique" @default.
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- W2041733715 doi "https://doi.org/10.1016/s0022-5347(01)66649-7" @default.
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