Our experience of penopubic epispadias repair by modified Cantwell-Ransley technique
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 12
Abstract
We have operated on penopubic epispadias about 8 cases using modified Cantwell-Ransley technique. Penile reconstruction included wide mobilization of the urethral plate from the underlying corpora based on a mesentery from the ventral penoscrotal skin, corporeal lengthening by dividing the suspensory ligaments and attachments to the undersurface of the pubis, urethral and glandular tubularization, chordee correction by medial incision of the corpora with anastomosis dorsal to the urethra and penile skin coverage. Postoperatively, repairs were intubated with silicone stents for 10 days. Two urethrocutaneous fistulas developed, 1 of which closed spontaneously. One patient had a small degree of penile skin loss that did not affect the neourethra. All patients currently have a cosmetically acceptable penis. In our study the patients age ranged between 15 years minimum age to 21yrs, because our center is a tertiary care hospital so the patients presented to us at elderly age. The low complication rate of this procedure coupled with the better anatomical configuration of the neourethra makes it useful for urethral and penile reconstruction.
Authors and Affiliations
G Sudharshan
Keywords
Related Articles
- EP ID EP505600
- DOI -
- Views 114
- Downloads 0
The association of Hyperuricemia with progressive Diabetic Nephropathy in patients with Type II Diabetes mellitus
Background: Diabetic nephropathy (DN) is a progressive kidney disease caused by the damage to the capillaries in the kidneys’ glomeruli. Uric acid is the end product of purine catabolism and is excreted in the urine. Uri...
Correlation between posterior edentulousness and temporomandibular disorder in adult population: A case control study
Back ground: Posterior tooth loss significantly reduces chewing efficiency, causes loss of posterior support, movement of remaining teeth and changes in occlusal contacts, in turn, increasing risk of temporomandibular di...
Study on morphological variations of cadaveric vermiform appendix and caecum in Narayan Medical College and Hospital
Vermiform appendix is one of the most variable organs inside the abdomen. Unusual positions pose diagnostic and surgical challenges. The present study was conducted on 38 cadavers in Narayan Medical College and Hospital...
Management of spontaneous large intra cerebral hematoma with minimal invasive procedure (twist drill burr hole) with fibrinolytic therapy
Background: Spontaneous intracerebral haemorrhage (ICH) is associated with the high mortality among cerebrovascular events, and most of the survivors end with significant morbidity. Spontaneous intracerebral haemorrhage...
Doctors' point of view on Pharmacy Compounding - Advantages and disadvantages
Background: Despite the wide variety and the increasing number of industrially manufactured pharmaceuticals in recent years, extemporaneous medications are still often prescribed and prepared. Materials and methods: The...