Рудин Ю.Э.

Purpose. The little size of penile glans is one of the problem hypospadias corrections. We reviewed our experience in one-stage distal hypospadias repair. Between January 2006 and October 2009, 185 boys, (age range 0,5- 17 years) underwent urethroplasty. The patients had different forms (coronal – 105, distal penile -57 and mid shaft penile – 23) of hypospadias. All patients were divided into two groups. The first group included 89 boys with one-stage onlay island flap (16), TIP tubularized incised plate (73) hypospadias repair.

Th e paper is dedicated to primary bladder reconstruction with local fl aps in children with exstrophy. An original method of bladder neck reconstruction with local fl aps with obligatory convergence of pubic bones in newborn infants has been proposed. 93 infants underwent surgery in the period from 1988 to 2009. Th e main group consisted of patients who underwent primary bladder reconstruction with local fl aps with convergence of the symphysis pubis bones (81). In 17 infants the procedure was supplied by the ileal osteotomy.