1. Aseel's Technique for Distal Penile and Coronal Hypospadius Repair (Simple, Easy with Less Complications)
Mohamed A.A.Ismail
Urology department - Theodore Bilharz Research Institute
Jiza, Egypt
ions
INTRODUCTION
SUMMARY / CONCLUSION
RESULTS
This technique is modification of the old operation of Arab that makes it very simple, easy to learn and even in cases of failure there will be no problem of redoing it or other operation because of the minimal tissue dissection
This is a very easy technique
that can be applied as an
outpatient or day case, and done In 10 minutes, with no Catheter
or stent per urethra left or
complications such as urethral
meatus stenosis or fistula
formation.
AIM
Fig.3
Fig.1
Fig.2
Our aim is to add a new simple easy to learn technique to the already present armantorium of operations that deals with distal penile and coronal hypospadi .
ACKNOWLEDGEMENTS
EXAMPLE
To prof. emirates , Dr Ahmed Aziz for his support,giudance and sincere encouragement.
MATERIAL & METHODS
This technique was applied in 43 patients. First a transverse
ventral incision is done parallel to the circumsion incision and 1cm proximal to the urethral meatus,
Figure (1)
Then proximal and distal skin dissection is done, Figure (2) 
  A longitudinal incision across the urethra plate extending
through the meatus is done, Figure (2)
and closed transversely that leads to urethral advancement,
Figure (3)
Then aided by 2 skin hooks the distal skin edge is pulled downwards to create a roof for the advanced urethra,
Figure (4)
followed by closure of the skin incision, no catheter or stent
is left. Figure(5)
This is a 10-minute operation and the patient is discharged
as a day case.
Fig.4
Fig.5 :
Results
Thirty-eight patients passed without complications and 5 had loss of the skin stitches either partial in 3 cases or complete in 2 cases that were repaired by reapplication of the stitches, no meatal stenosis or fistula were reported.
REFERENCES
Contact information
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Urology dept.,Theodore Bilharz research institute
PO box 30 Embaba Jiza, Egypt