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Hypospadias repair: Byar's two stage operation revisited

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Presentation on theme: "Hypospadias repair: Byar's two stage operation revisited"— Presentation transcript:

1 Hypospadias repair: Byar's two stage operation revisited
A.R. Arshad  British Journal of Plastic Surgery  Volume 58, Issue 4, Pages (June 2005) DOI: /j.bjps Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

2 Figure 1 Dorsal midline slit made on the prepuce and this is combined with a circumferential incision around the corona to mobilise the ‘Byars’ flap. Two parallel incisions are also made on the ventrum of glans, on each side of the urethral plate and carried to tip of glans. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

3 Figure 2 Preputial skin flap ‘Byars flap’ sutured to cover raw area created on retraction of the ‘glans wing’ and on areas created after release of chordee. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

4 Figure 3 After creation of neourethra, waterproofing layer from surrounding adventitial tissue is sutured over it. Note that this suture line is lateral to the midline suture line of the neourethra. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

5 Figure 4 Skin closure was done with interrupted 7–0 polyglactin sutures. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions


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