V05-07 Extending the Graft Harvesting Area in Severe Penoscrotal Hypospadias: The Rainbow Technique

You have accessJournal of UrologyPediatrics (V05)1 May 2024V05-07 EXTENDING THE GRAFT HARVESTING AREA IN SEVERE PENOSCROTAL HYPOSPADIAS: THE RAINBOW TECHNIQUE Ziyad Alzahrani, Yaqoub Jafar, Melissa McGrath, Bruno Leslie, and Luis Braga Ziyad AlzahraniZiyad Alzahrani , Yaqoub JafarYaqoub Jafar , Melissa McGrathMelissa McGrath , Bruno LeslieBruno Leslie , and Luis BragaLuis Braga View All Author Informationhttps://doi.org/10.1097/01.JU.0001009516.84627.21.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In this video, we introduce a novel technique for preputial skin harvesting in cases of proximal hypospadias where a longer graft is needed. METHODS: A 2-year-old was referred for penoscrotal hypospadias. Examination revealed a scrotal meatus, bifid scrotum, and severe chordee (>90) with descended testicles. The karyotype was 46XY and the hormonal profile was normal. During the first stage, chordee was corrected by dividing the urethral plate and 3 transverse corporotomies, creating a ventral penile defect of 6 cm to be grafted. As the inner prepuce diameter was only 4 cm long, we could not perform the conventional rectangular preputial skin graft technique. A semicircular rainbow-like incision was marked on the dorsal preputial hood, with a minimum of 2 cm from the foreskin edge, creating a graft harvesting area of 7 cm, which was used to cover the entire penile ventral surface. RESULTS: The tie-over dressing was removed on postoperative day 4. 6-month follow-up showed a healthy graft with no contraction. The child is awaiting second-stage hypospadias repair. CONCLUSIONS: This technique serves as a valuable alternative when the conventional rectangular preputial graft harvest falls short in providing sufficient graft length for the first-stage hypospadias repair eliminating the need for buccal mucosa. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e270 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Ziyad Alzahrani More articles by this author Yaqoub Jafar More articles by this author Melissa McGrath More articles by this author Bruno Leslie More articles by this author Luis Braga More articles by this author Expand All Advertisement PDF downloadLoading ...