VERTICAL PREPUTIAL FLAP WITH DOUBLE SKIN ISLAND FOR CORRECTION OF HYPOSPADIAS WITH SEVERE RECURVATUM

Eight patients presenting with a proximal hypospadias and penis recurv atum have been operated on. A one-stage procedure, based on the vertic al preputial island flap operation, was the option for surgery. To rec onstruct the missing urethra and the ventral skin defect, after the co rrection of the curvature, a single flap carrying two skin islands, us eful for both goals, was planned. The urethroplasty was performed usin g the dorsal aspect of the island flap, according to Scuderi's operati on, and the skin defect was reconstructed by means of the ventral aspe ct. No postoperative complication occurred. In all patients it was pos sible to place the meatus at the apex of the glans and to reconstruct the ventral skin continuity. The use of the vertical, ''double-face,'' preputial island flap technique is suggested for single-stage repair of proximal hypospadias with severe recurvatum, presenting long urethr al and large ventral skin defects.