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ORIGINAL ARTICLE
Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 75-77

Tunica vaginalis flap in hypospadias repair: A preliminary experience


1 Assistant Professor, IGIMS, India
2 Professor & Head, IGIMS, India
3 Associate Professor, IGIMS, India
4 Additional Professor, IGIMS, India
5 Senior Resident, Dept. of Paediatric Surgery, IGIMS, India

Correspondence Address:
Sandip K Rahu
Assistant Professor Dept. of Paediatric Surgery, IGIMS, Patna
India
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Source of Support: None, Conflict of Interest: None


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Aims and Objectives : To investígate the results of Hypospadias repair in patients having Tunica Vaginalis flap as a second layer after urethral reconstruction Methods: A prospective study on all patients of Hypospadias who had Tunica Vaginalis used as a second layer after urethroplasty was conducted between 01.11.2017 to 31.10.2019. Data regarding nature of hypospadias, any previous surgery, duration of surgery and any postoperative complications were collected. Results collected were analyzed. Results: A total of ten patients had the use of Tunica Vaginalis flap during surgery. Among these, 90% had proximal hypospadias and 10% had distal hypospadias. 50% patients (4/10 proximal & 1/10 distal) had this flap used in Redo-urethroplasty cases with 100% success. 40% cases had this flap used during primary urethroplasty, of which 50% cases had successful repair and other 50% had fistula formation. One patient who had Bracka-stage 2 surgery with this flap reported good cosmetic results. Conclusion: Tunica Vaginalis Flap is a well vascularized, locally available flap that can be used in difficult cases of Hypospadias with tissue deficiency with good results and minimal complications.


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