[Use of the pedicled transverse preputial flap in the surgery of hypospadias. Apropos of 100 cases].

From August 1984 to July 1986, we performed 185 urethroplasties for hypospadias repair. 100 children underwent single stage correction with the transverse preputial island flap technique. The ages ranged from 8 months to 16 years with an average of 3 years. It was not the first operation for 10 children: 2 underwent staged operative procedures to perineal hypospadias reconstruction, 6 had previous hypospadias surgery by one or several other techniques. The follow-up interval ranges from 3 to 26 months (mean 11 months). The overall fistula rate was 14% (with spontaneous closure for 6%); proximal stricture rate was 2% and meatal stenosis rate 9%. 5 patients endured a meatal stenosis which facilitated subjacent fistula. Reoperation was necessary in 12 cases including 3 fistulae, 6 meatal stenosis (two of which were associated with subjacent fistula), 2 proximal stenosis; and one for extract bladder lithiasis. However 86 patients present an good cosmetic and functional result without complication. The Duckett's transverse preputial island flap technique is an undeniable progress for the hypospadias repair, with an acceptable complication rate.