Dorsal inlay graft urethroplasty for primary hypospadiac repair

Hiroshi Asanuma, Hiroyuki Satoh, Seiichiro Shishido

Research output: Contribution to journalArticlepeer-review

32 Citations (Scopus)


Objective: Tubularized incised plate urethroplasty has become a popular technique for repairing distal and proximal hypospadias in many institutions. Dorsal inlay graft urethroplasty has been used in our institution since 2003 to reduce the risk of meatal stenosis. In the present study, we evaluated the results of the dorsal inlay graft procedure. Methods: A total of 28 patients with no deep groove and no severe curvature underwent one-stage urethroplasty using an inner preputial-based dorsal inlay graft. The medical records of all patients were retrospectively reviewed with regard to complication rate and cosmetic appearance. Results: Mean patient age at surgery was 21 months (range, 14 months to 4.6 years). Preoperatively the urethral meatus was coronal in two cases, distal shaft in 17, proximal shaft in six and penoscrotal in three. Nine patients required testosterone therapy before surgery. Mean operative time was 200 min (range, 154-249 min). Mean length of inlay graft was 20.9 mm (range, 12-30 mm). In all patients, a straight penis was achieved without dorsal plication of the corposa cavernosa, and the neomeatus with a slit-like appearance was positioned at the glans tip. At a mean of 22 months of follow up, a urethrocutaneous fistula developed in only one patient (3.6%), requiring repair surgery 6 months after urethroplasty. No patient had meatal stenosis, neourethral stricture or urethral diverticulum along the inlay graft. Conclusion: Dorsal inlay graft urethroplasty is an effective method for hypospadiac repair and leads to good cosmetic outcome with low risk of complications.

Original languageEnglish
Pages (from-to)43-47
Number of pages5
JournalInternational Journal of Urology
Issue number1
Publication statusPublished - 2007 Jan
Externally publishedYes


  • Children
  • Dorsal inlay graft
  • Hypospadias
  • Urethroplasty

ASJC Scopus subject areas

  • Urology


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