What is Byars flap?
By·ars flap (bī-yahrz’), skin flap made of dorsal prepuce to resurface the ventral penis in people with chordee or hypospadias.
What is hypospadias fistula?
There are a number of complications of hypospadias repair of which you should be aware. The most common is partial breakdown of the urethral reconstruction—usually manifested by a “fistula,” a small opening between the urethra and the skin.
What causes hypospadias fistula?
The cause of fistula remains less known although it is likely that local infection, local ischaemia, inadequate procedure, poor tissue handling, distal obstruction due to distal stenosis or encrustration with severity of hypospadias has significant impact on the outcome of the primary hypospadias repair.
What is Urethroplasty hypospadias?
The operative steps of hypospadias surgery involve penile degloving, correction of VC (orthoplasty), reconstruction of the urethra (urethroplasty), providing a vascularized coverage for the urethroplasty, reconstruction of the glans (glansplasty), and finally a cosmetic skin coverage to create a circumcised penile …
What is congenital chordee?
Congenital penile curvature (chordee) is a condition a boy is born with and is only apparent when the baby’s penis is erect. Unlike Peyronie’s disease which also involves curvature of the penis, the condition isn’t caused by scar tissue.
What causes fistula after hypospadias repair?
Urethrocutaneous fistula, followed by hypospadias reconstruction, is one of the most common complications. Post-surgery fistula in children could occur as the result of one or more factors, such as meatal stenosis, urorethral stricture, hematoma, infection, poor surgical technique, etc.
What does chordee look like?
The most visible symptom of chordee is a sharp curve of the penis, either upward or downward. This curve can start anywhere from the base of the penis near the testicles to the beginning of the glans. If you also have hypospadias, your urine may splash or go in an unintended direction when you urinate.
Is it necessary to correct chordee?
As such, surgical correction of both chordee and hypospadias is recommended. Surgery can be performed to straighten the penis and remove the fibrous tissue that is responsible for the bending. When properly corrected, it does not cause long-term problems, and a natural appearance of the penis is usually restored.
How do you fix a Urethrocutaneous fistula?
The surgeon simply stitches the opening shut while the patient is sedated. Larger fistulas require more time and effort. If the skin around the fistula is not healthy, the surgeon may need to perform a more layered approach that is known as “waterproofing” to help seal off the opening.
How do you fix a fistula?
Surgical options include:
- Sewing an anal fistula plug or patch of biologic tissue into the fistula to allow your tissue to grow into the patch and heal the fistula.
- Using a tissue graft taken from a nearby part of your body or folding a flap of healthy tissue over the fistula opening.
Is hypospadias associated with chordee?
The opening can be located anywhere on the undersurface of the penis to the scrotum. A condition called chordee is often seen with hypospadias. Chordee is a downward curve of the penis. This can occur with or without a hypospadias.
Is chordee surgery safe?
Possible complications of chordee Complications after surgery are rare but can occur. These may include: wound infections. scarring.
What is Urethrocutaneous?
Overview. A urethral (u-REE-thrul) stricture involves scarring that narrows the tube that carries urine out of your body (urethra). A stricture restricts the flow of urine from the bladder and can cause a variety of medical problems in the urinary tract, including inflammation or infection.