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ORIGINAL ARTICLE
Year : 2009  |  Volume : 25  |  Issue : 3  |  Page : 329-331

Use of the processes vaginalis: A new technique for reinforcing the neourethra in hypospadias associated with undescended testis


Department of Paediatric Surgery, Sir J J Group of Hospitals, Mumbai, India

Correspondence Address:
Himanshu Acharya
Ward No 41, B J Building, Sir J J Group of Hospital, Byculla, Mumbai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.56187

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Context: The incidence of undescended testis (UDT) along with hypospadias varies from 6 to 31%. The simultaneous repair of UDT and hypospadias is rarely done. Herein, we present a novel technique to use processes vaginalis as a vascular cover for neourethra in a hypospadias patient with UDT. We have done urethroplasty and orchiopexy simultaneously. This is the first report concerning the use of processes vaginalis to reinforce the urethra. Aims: Simultaneous repair of hypospadias and undescended testis. Results: Both the patients withstood the procedure well. Postoperative period was uneventful. Patients passed urine in single stream without any fistula. Conclusions: In patients of undescended testis with hypospadias, simultaneous repair with the processes vaginalis flap is an ideal technique with good results. Processes vaginalis is good vascular cover for neourethra.


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