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Year : 2008  |  Volume : 24  |  Issue : 2  |  Page : 200-205

The role of flaps and grafts in modern hypospadiology

1 Department of Surgery, Division of Urology, University of Utah and Primary Children's Medical Center, Salt Lake City, UT 84113, USA
2 Department of Surgery, Division of Urology, University of Toronto and The Hospital for Sick Children, Toronto, ON, Canada

Correspondence Address:
M Chad Wallis
Primary Children's Medical Center, 100 N. Medical Dr, Ste. 2200, Salt Lake City, UT 84113
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.40616

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The modern hypospadiologist must be proficient in the use of both vascularized flaps and free grafts. When choosing a repair for any given patient with hypospadias, one must consider the length of the urethroplasty, the presence and degree of ventral curvature and perhaps most importantly, the surgeon's own experience. Not all repairs are created equally and different complication rates and cosmetic outcomes can be seen among different surgeons utilizing the same technique. Each surgeon tends to infuse their own modifications to any given technique and many of these modifications go unreported. It is incumbent upon each surgeon to be familiar with a wide variety of techniques, which invariably includes the use of flaps and grafts. We present a spectrum of the uses of flaps and grafts in modern hypospadiology.

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