Transverse preputial flap urethroplasty in hypospadias a long term review

ABSTRACT: We report a series of 90 patients of hypospadias that were treated at our set up from 1992 to 2002 by transverse preputial flap technique. The age range was 2-27 years. The main complaints of these patients were abnormal opening to urinary meatus with downward curvature of penis. There were 52 cases (57.77 percent) of distal penile hypospadias, 32 cases (35.55 percent) of mid penile hypospadias and 6 cases (6.66 percent) of proximal penile hypospadias. All patients underwent single stage orthoplasty, glanduloplasty and urethroplasty by transverse preputial flap technique. Postoperative complications were noted in 36 patients (40 percent) and 10 of them (11.11 percent) required further operative procedures. Follow up period approaches 10 years for patients operated earlier. The technique of repair and relevant literature are discussed.