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

Mane SB, Acharya H, Dhende NP, Obeidah A - Indian J Urol (2009)

Bottom Line: Here we present a novel technique that uses processus vaginalis as vascular cover for neourethra in hyposapdias patients with UDT.We have done urethroplasty and orchiopexy simultaneously.This is the first report of processus vaginalis being used to reinforce the urethra.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, Sir J J Group of Hospitals, Mumbai, India.

ABSTRACT
Incidence of the undescended testis (UDT) along with hypospadias varies from 6 to 31%. The repair of UDT and hypospadias is rarely done simultaneously. Here we present a novel technique that uses processus vaginalis as vascular cover for neourethra in hyposapdias patients with UDT. We have done urethroplasty and orchiopexy simultaneously. This is the first report of processus vaginalis being used to reinforce the urethra.

No MeSH data available.


Related in: MedlinePlus

Testis brought in scrotum with processes vaginalis
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Figure 0002: Testis brought in scrotum with processes vaginalis

Mentions: To prevent complications like fistula, the urethral repair needs vascular cover. At this juncture, we planned to do orchidopexy along with the repair of hypospadias. Inguinal crease incision was taken on right side and herniotomy done close to the internal ring. After mobilizing the cord structure proximally, testis was brought down into scrotum along with its processus vaginalis [Figure 1]. Testis was fixed into extra dartos pouch and processus vaginalis was cut open to form the flap [Figure 2]. This processus vaginalis was used to cover the neourethral repair as a blanket wrap [Figure 3]. The postoperative course was uneventful and patient voided single good stream on day 10th of operation. Patient is on regular follow-up with no complications.


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

Mane SB, Acharya H, Dhende NP, Obeidah A - Indian J Urol (2009)

Testis brought in scrotum with processes vaginalis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2710085&req=5

Figure 0002: Testis brought in scrotum with processes vaginalis
Mentions: To prevent complications like fistula, the urethral repair needs vascular cover. At this juncture, we planned to do orchidopexy along with the repair of hypospadias. Inguinal crease incision was taken on right side and herniotomy done close to the internal ring. After mobilizing the cord structure proximally, testis was brought down into scrotum along with its processus vaginalis [Figure 1]. Testis was fixed into extra dartos pouch and processus vaginalis was cut open to form the flap [Figure 2]. This processus vaginalis was used to cover the neourethral repair as a blanket wrap [Figure 3]. The postoperative course was uneventful and patient voided single good stream on day 10th of operation. Patient is on regular follow-up with no complications.

Bottom Line: Here we present a novel technique that uses processus vaginalis as vascular cover for neourethra in hyposapdias patients with UDT.We have done urethroplasty and orchiopexy simultaneously.This is the first report of processus vaginalis being used to reinforce the urethra.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, Sir J J Group of Hospitals, Mumbai, India.

ABSTRACT
Incidence of the undescended testis (UDT) along with hypospadias varies from 6 to 31%. The repair of UDT and hypospadias is rarely done simultaneously. Here we present a novel technique that uses processus vaginalis as vascular cover for neourethra in hyposapdias patients with UDT. We have done urethroplasty and orchiopexy simultaneously. This is the first report of processus vaginalis being used to reinforce the urethra.

No MeSH data available.


Related in: MedlinePlus