Home > Journals > New Indian Journal of Surgery

New Indian Journal of Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

To Compare the Outcomes of Dorsal Dartos Flap, Tunica Vaginalis Flap and Durham Smith De-Epithelialized Dartos Based Flap as Secondary Interposition Cover after Tubularized Incised Plate Urethroplasty in Reducing Post-Operative Complications

Shasanka Shekhar Panda , Nitin Jain1 , Shasanka Shekhar Panda2 , Simmi K Ratan3 , Sujoy Neogi4 , Aparajita Mitra , Chiranjiv Kumar

Author Information

Licence:



New Indian Journal of Surgery 13(3):p 99-104, July-September 2022. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.13322.1

How Cite This Article:

Nitin Jain, Simmi K Ratan, Shasanka Shekhar et al./To Compare the Outcomes of Dorsal Dartos Flap, Tunica Vaginalis
Flap and Durham Smith De-Epithelialized Dartos Based Flap as Secondary Interposition Cover after Tubularized Incised
Plate Urethroplasty in Reducing Post-Operative Complications/New Indian J Surg. 2022;13(3): 99–104.
 

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Interposition flaps are mainstay in the success of hypospadias surgery because they lead to decrease in complications of hypospadias repair significantly especially urethrocutaneous fistula by buttressing the neo urethral suture line. Many interposition flaps have been tried with varying outcome results. Most commonly used interposition flaps are Tunica vaginalis flap and dorsal dartos flap however, recently interest have also researched in Durham smith de-epithelialized dartos based overlay flap. Though there are many publications comparing outcome of dorsal dartos and tunica vaginalis flap but hardly any study that has compared all three interposition flaps. So, we aimed to compare the outcomes of dorsal dartos flap (DF), tunica vaginalis flap (TVF) and Durham smith de-epithelialized dartos based overlay flap as interposition layer in TIP urethroplasty. Aim: To compare the outcomes of dorsal dartos flap (DF), tunica vaginalis flap (TVF) and Durham smith de-epithelialized dartos based flap as secondary interposition cover after Tubularized incised plate urethroplastyin reducing post-operative complication. Materials and Methods: A retrospective study was conducted in which case records of 78 patients who had undergone repair for distal and midpenile hypospadias with minimal chordee and favorable anatomy by the Tubularized incised plate urethroplasty with interposition flap over 2 years (2017-2019) were reviewed. Patients were divided in three groups with 26 subjects in each group. Group A consisted of patients with dorsal dartos interposition flap, Group B comprised of patients with Tunica vaginalis interposition flap and Group C consisted of patients with Durham smith deepithelialized dartos based overlay cover. Outcome variables noted were the complications including wound dehiscence, Urethrocutaneous fistula, Meatal stenosis, Penile torsion, skin necrosis and preputial edema. Statistical methods were applied to compare these complications in all three groups.

References

No records found.


About this article

Cite this article

Nitin Jain, Simmi K Ratan, Shasanka Shekhar et al./To Compare the Outcomes of Dorsal Dartos Flap, Tunica Vaginalis
Flap and Durham Smith De-Epithelialized Dartos Based Flap as Secondary Interposition Cover after Tubularized Incised
Plate Urethroplasty in Reducing Post-Operative Complications/New Indian J Surg. 2022;13(3): 99–104.
 

Licence:



Received Accepted Published
N/A N/A N/A
DOI: https://dx.doi.org/10.21088/nijs.0976.4747.13322.1

Keywords


Article Level Metrics

Last Updated

Saturday 28 February 2026, 12:51:00 (IST)

507

Accesses

1
158
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share