A Clinical Observation on Modified Denis-Browne Urethroplasty

Kang, Myung Seon; Park, Young Kyung

Abstract

A clinical observation was made on 10 cases of modified Denis-Browne urethroplasty experienced at Department of Urology, Jeonbug National University, from January 1978 to July 1980 and the following results were obtained: 1. The age was distributed from 2 years to 44 years and most of cases was found in the age group which was less than 7 years. 2. Among 10 cases of modified Denis-Browne urethroplasty, 4 cases were penile hypospadias, 4 cases were penoscrotal hypospadias and 2 cases were perineal hypospadias. 2 cases of penile hypospadias were not combined chordee. 3. Cryptorchism and meatal stenosis were the most common associated anomalies. 4. Interval from chordectomy to modified Denis-Browne urethroplasty took 6 months to 1 year in 6 cases (75%), with the average of 10 months 5. We performed trocar cystostomy as urinary diversion in all cases. 6. 3-layer longitudinal monofilament subcuticular suture was used in all cases. 7. Among 10 cases, complications developed in 2 cases (20%), one case was urethral fistula, the other was urethral stricture 8. Success rate of modified Denis-Browne urethroplasty in our cases was 80%.