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Title
1. Surgical Approach
2. Incision
3. Insert Catheter
4. Dissection
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a. Island Flap
b. Release Curvature and Attachments
5. Prepare Island Flap for Urethra Formation
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a. Take Measurements
b. Place Stay Sutures
c. Mark Incision
d. Incision
e. Dissection
6. Construction of Penile Urethra
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a. Insert and Inflate Foley Catheter
b. Suture Flap Around Catheter to Build Urethra
7. Mobilize Native Urethra for Length
8. Excise Native Urethral Orifice
9. Anastomosis of Native and Constructed Urethral Segments
10. Alignment and Attachment of New Urethral Orifice
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a. Place Stay Sutures in Glans
b. Incision
c. Suture New Urethral Orifice into Glans Incision
d. Suture Glans Penis Around Urethra
11. Suture Corpus Around Penile Urethra
12. Skin Closure
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a. Scrotum
b. Split Island Flap
c. Dorsal Attachment
d. Ventral Shaft
e. Distal Shaft
f. Tie Catheter and Cut Sutures
13. Post-op Remarks
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Penoscrotal Hypospadias Repair
Domingo Alvear, MD
1
;
Lissa Henson, MD
2
;
Jaymie Ang Henry, MD, MPH
3
1
World Surgical Foundation
2
Philippine Society of Pediatric Surgeons
3
Florida Atlantic University, G4 Alliance
Tags:
Urology
Global Surgery
Main Text
Procedure Outline
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Authors
Domingo Alvear, MD
Lissa Henson, MD
Jaymie Ang Henry, MD, MPH
Filmed At:
Romblon Provincial Hospital
Article Information
Publication Date
N/A
Article ID
268.8
Production ID
0268.8
Volume
N/A
Issue
268.8
DOI
https://doi.org/10.24296/jomi/268.8