Marzouk skin tag two-stage urethroplasty for the repair of complex cases of XXXX .

@entity1 @entity292 @entity2650 @entity942
BACKGROUND: Cases of @entity2650 with severe @entity942 skin, as well as those for re-do @entity2650 or @entity292 repair, are considered complex cases. Depending on the degree of complexity of the defect, a two-stage procedure may still be advisable. The present paper describes the so-called Marzouk skin tag urethroplasty as a new two-stage procedure advisable for use in such difficult cases. METHODS: The Marzouk skin tag urethroplasty procedure was performed on 16 complex cases. The first stage consists of urethral mobilization plus the double-buttonhole procedure (designed by the author) to form a midline ventral skin tag proximal to an advanced hypospadiac orifice. This skin tag is fashioned, 6 months later, by the author's special techniques (type I in 12 @entity1 and type II in four @entity1 ) to form the neourethral tube and its coverage with minimal dissection. RESULTS: The operation resulted in a straight penis with neomeatus at the glans top in all 16 cases without significant complications. Both type I and II procedures give good functional results. The type I procedure has a superior cosmetic result. The follow-up period ranged from 4 to 8 months. CONCLUSIONS: The double-buttonhole modification can solve the problem of deficient skin and simplify a safe second-stage procedure. The Marzouk skin tag operation (types I and II) can be an additional option to be used when indicated.
