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Penoscrotal Hypospadias Repair
Table of Contents
- 1. Surgical Approach
- 2. Incision
- 3. Insert Catheter
- 4. Dissection
- 5. Prepare Island Flap for Urethra Formation
- 6. Construction of Penile 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
- 11. Suture Corpus Around Penile Urethra
- 12. Skin Closure
- 13. Post-op Remarks
1. Surgical Approach
2. Incision
3. Insert Catheter
4. Dissection
- Island Flap
- Release Curvature and Attachments
5. Prepare Island Flap for Urethra Formation
- Take Measurements
- Place Stay Sutures
- Mark Incision
- Incision
- Dissection
6. Construction of Penile Urethra
- Insert and Inflate Foley Catheter
- 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
- Place Stay Sutures in Glans
- Incision
- Suture New Urethral Orifice into Glans Incision
- Suture Glans Penis Around Urethra
11. Suture Corpus Around Penile Urethra
12. Skin Closure
- Scrotum
- Split Island Flap
- Dorsal Attachment
- Ventral Shaft
- Distal Shaft
- Tie Catheter and Cut Sutures