Bhat's modifications of Glassberg –Duckett repair to reduce complications in management severe hypospadias with curvature

Conclusions TIPU with spongioplasty of proximal urethra and dartos cover on skin tube reconstructs functional urethra. Distal end skin sutured to glans mucosa 5–8mm proximal to the tip of glans reconstructs a cosmetically normal looking meatus. An exact measurement of the width and length of the stretched dartos, fixation of the skin tube to the corpora and covering the skin tube with dartos helps in prevention of diverticula. Elliptical anastomosis covered with spongiosum prevents fistula and stricture at anastomotic site.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research