Medicinski vjesnik, Vol. 30 No. (3-4), 1998.
Professional paper
Surgical treatment of hypospadias by poljugan procedure -presentation of the original four-stage technique
Zoran Božić
Ivan Fattorini
Ivo Pedišić
Abstract
Poljugan procedure is an original four-stage technique for primary and salvage repair of penoscrotal and also proximal and mid-penile hypospadias. This procedure has recently been reduced to three stages, the first of which comprises an outpatient minor one-day surgery, lasting for a few minutes. The transverse double-faced hairless pedicle preputial flap is used for the reconstruction. The procedure incorporates fenestration of the prepuce with flap formation, transposition of the mobilized pedicle flap to the ventral side of the penis and neourethral construction by onlaying the flap to the urethral plate from the meatus to the top of the glans. The surgical technique is extremely simple, with the total duration the same or less than single-stage procedures. In the past four decades 1048 patients underwent this procedure with very good, although
epidemiologically unassessed outcome, representing the largest series in Croatia and former Yugoslavia.
Keywords
Hrčak ID:
192369
URI
Publication date:
1.12.1998.
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