Sunday, June 25, 2017

Pediatric Surgery Hypospadius 2 urethroplasty


Urethroplasty
Procedure
1.  Hold the glans with a silk stay suture.
2.  Mark the incision with a marking ink or pen.
3.  Make a ‘U’ shape incision on the ventral surface of the penis around the meatus.
4.  Roll it into a tube over a # 6 feeding tube.
5.  Make the water tight urethra with PDS.
6.  Approximate subcutaneous tissue with catgut.
7.  Close skin with interrupted nylon suture.
8.  Apply compression penile dressing.
Options
1.  Single stage urethroplasty, if no chordee.
2.  Multistage procedures, if associated with:
        Chordee
        Torsion of phallus.
Instruments
General Pediatric Surgical Set
Special instruments
   Fine scissors                                      1 (Fig. 21.4)
   Fine tissue forceps                           2 (Fig. 21.5)
   Skin hooks                                        2
   Measuring scale                                1
   Marking ink/pen                               1
   Silastic/PVC catheter                        # 6, 8
Sutures
   5/0 PDS/Dexon                                 1
   5/0 Catgut                                         1
   4/0 Silk                                               1

   5/0 Nylon                                           1


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