Penile and scrotal skin flaps:First choice for urethroplasty in the treatment of hypospadias

Objective :To explore the feasibility of the treatment of hypospadias with penile and scrotal skin flaps. Methods :Twenty-three hypospadias patients aged 3.5-19 (mean 6.8) years underwent urethroplasty with penile and scrotal skin flaps. All were followed up for 6 years and analyzed retrospectively. Results :Of the total number of patients,21 (91.3%) succeeded in one operation and the other 2 developed complications,including urethral fistula and urethral structure. Conclusion :Penile and scrotal skin,advantageous for its adequacy,rich blood supply and contribution to high success rate of surgery,is believed to be the first choice for urethroplasty in the treatment of hypospadias.