A ventral rotational skin flap to improve cosmesis and avoid chordee recurrence in XXXX repair.

@entity1 @entity1494 @entity8889 @entity292 @entity7890
OBJECTIVE: To describe a technical modification that facilitates dorsal skin closure, improves cosmesis and eliminates chordee recurrence secondary to contracture of the dorsal penile skin in the repair of @entity7890 . @entity1 AND METHODS: Eleven @entity1 with @entity7890 (mean age 1.8 years) had the @entity7890 repaired using a modified ventral penile skin flap. Four @entity1 had @entity7890 and seven had had a previous primary closure of @entity1494 . Nine @entity1 underwent the Cantwell-Ransley technique, leaving the meatus in a glanular position. Two @entity1 were repaired using the penile disassembly technique of Mitchell and B  @entity8889 , because they had a short urethral plate. A ventral island skin flap was fashioned, starting at the base of the penis. Dissection was carried ventrally into the scrotum to allow for adequate dorsal flap transposition. The flap was rotated laterally to shift the suture line from the midline and to cover the dorsal aspect of the penis with untouched penile shaft skin. Redundant ventral foreskin was discarded. RESULTS: All @entity1 had an uneventful course after surgery. Dorsal penile skin was viable in every case and no @entity1 developed recurrence of chordee or a urethrocutaneous @entity292 . The cosmetic result was excellent in all @entity1 . CONCLUSIONS: Dorsal skin closure using lateral rotation of ventral penile skin flap improves cosmesis after @entity7890 repair and eliminates the recurrence of chordee secondary to midline dorsal scarring.
