One-stage correction of distal hypospadias Modification of allen- spence-hoffmann-hall procedure

ONE-STAGE DISTAL

CORRECTION

OF

HYPOSPADIAS

Modification of Allen-Spence-Hoffmann-Hall

A. KELAMI, U. FIEDLER,

M.D. M.D.

M. RICHTER-REICHHELM,

M.D.

From the Department of Urology, Klinikum Steglitz, Free University Berlin, F. R. Germany

We have successfully performed a modified Allen-Spence-Hoffmann-Hall procedure for correction of distal hypospadias in 41 patients. The modified technique is easy to perform and also well tolerated. A perineal urethrostomy or cystostomy is not necessary. Our modification consists of incising both sides of the foreskin (X, Y) for a distance of 0.5 cm., which is then pulled distally to meet the

496

Procedure

of Berlin,

points Xi and Yr (Fig. 6. This enables the surgeon to cover the distal urethra with the foreskin without tension. We use 5-O chromic catgut interrupted sutures. Hindenburgdamm 30 D-1000 Berlin 45 F. R. GeTany (DR. KELAMI)

UROLOGY

/ NOVEMBER

1976 / VOLUME

VIII,

NUMBER 5

h UROLOGY

/ NOVEMBER

1976

/ VOLUME

VIII,

NUMBER

5

497