Top Banner
OUPF CORRECCIÓN DE HIPOSPADIAS TECNICA DE KOYANAGI
29

Técnica de Koyanagi en Hipospadias

Apr 10, 2015

Download

Documents

uropediatra

Técnica quirúrgica para la corrección de Hipospadias Severas
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Técnica de Koyanagi en Hipospadias

OUPF

CORRECCIÓNDE HIPOSPADIAS

TECNICADE

KOYANAGI

Page 2: Técnica de Koyanagi en Hipospadias

J. UROL., 130: 1150. 1983Complete repair of severe penoscrotal hypospadias in 1 stage:

Experience with urethral mobilization,wing flap-flipping Urethroplasty and Glanulomeatoplasty.

Koyanagi T.,Matzuno T.,Nomomura K and Sakakibara N.

EUR. UROL., 19: 221. 1991Onlay Urethroplasty with Parameatal Flap for distal hypospadias.

Koyanagi T., Nomomura K., Asano Y., Gotoh T and Togashi M.

EUR. UROL., 24: 106. 1993Experience with one-stage repair of severe proximal hypospadias:

Operative Technique and results.Koyanagi T., Nomomura K., Kakizaki H., Takeuchi I and Yamashita T.

J. UROL., 152: 1232-1237. 1994One-Stage repair for hypospadias:

Is there no simple method universally applicable to all typesOf Hypospadias?

Tomohiko Koyanagi., Katsuya Nomomura., Tetsufumi Yamashita., Kouichi Kanagawa.

Page 3: Técnica de Koyanagi en Hipospadias

25 AÑOSDE EXPERIENCIA

+DE 120

PACIENTESEN LOS PRIMEROS 10 AÑOS

Page 4: Técnica de Koyanagi en Hipospadias

J. UROL., 152: 1232-1237. 1994

One-Stage repair for hypospadias:

Is there no simple method universally applicable to all

typesOf Hypospadias?

Tomohiko Koyanagi., Katsuya Nomomura., Tetsufumi Yamashita., Kouichi Kanagawa.

OUPF

OUPF II&

OUPF IV

Page 5: Técnica de Koyanagi en Hipospadias

OUPFII

INCIDIRDENUDAR

CIRCUNCIDAR

PLATO-COLGAJO

Page 6: Técnica de Koyanagi en Hipospadias

OUPFII

LIBERAR

COLGAJOSUTURAR

URETRA

Page 7: Técnica de Koyanagi en Hipospadias

OUPFII

GLANDULO-CORPOPLASTIA

BYARS

Page 8: Técnica de Koyanagi en Hipospadias

OUPFIV

DELINEAR

COLGAJO

OUPF IV

Page 9: Técnica de Koyanagi en Hipospadias

OUPFIV

DENUDAR

ERECTAR

CIRCUNCIDAR

Page 10: Técnica de Koyanagi en Hipospadias

OUPFIV

LIBERAR

COLGAJOS&

CHORDE

Page 11: Técnica de Koyanagi en Hipospadias

OUPFIV

ERECTAR

PREPARAR LECHOGLANDULO URETRAL

Page 12: Técnica de Koyanagi en Hipospadias

OUPFIV

URETROPLASTIA

GLANDULOPLASTIA DORSAL VENTRAL

Page 13: Técnica de Koyanagi en Hipospadias

OUPFIV

CORPOPLASTIA

ESPONGIOPLASTIA

Page 14: Técnica de Koyanagi en Hipospadias

XYZOUPF

IV

RESULTADO

OBTENIDO

Page 15: Técnica de Koyanagi en Hipospadias

KOYANAGI-NOMOMURA URETHROPLASTYRESULTS 1983-1994

HOKKAIDO UNIVERSITY OF MEDICINE,JAPON.

120 PACIENTES50-OUPF II70-OUPF IV

OUPF II OUPFIV 18% 47% 9 33

COMPLICACIONES-REINTERVENCIONES

FISTULAS-ESTENOSIS

Page 16: Técnica de Koyanagi en Hipospadias

THE MODIFIED KOYONAGI REPAIR FOR SEVEREPROXIMAL HYPOSPADIAS

BJU International 2001; 87:235-238

HAYASHI Y,KOJIMA Y, MIZUNO K,NAKANE A,KOHRL K.

OUPFIV

Page 17: Técnica de Koyanagi en Hipospadias

OUPFIV

ONE-STAGE URETHROPLASTY WITH PARAMEATAL BASED

AND FULLY EXTENDED CIRCUMFERENTIAL FORESKIN FLAP

IVHAYASHI Y.

CUERPO-PENE

Page 18: Técnica de Koyanagi en Hipospadias

OUPFIV

ONE-STAGE URETHROPLASTY WITH PARAMEATAL BASED

AND FULLY EXTENDED CIRCUMFERENTIAL FORESKIN FLAP

IVHAYASHI Y.

DENUDAR-PIELANTERIOR

POSTERIOR

TRANSPONERCOLGAJO

Page 19: Técnica de Koyanagi en Hipospadias

OUPFIV

ONE-STAGE URETHROPLASTY WITH PARAMEATAL BASED

AND FULLY EXTENDED CIRCUMFERENTIAL FORESKIN FLAP

IVHAYASHI Y.

URETROPLASTIA

Page 20: Técnica de Koyanagi en Hipospadias

OUPFIV

OUPFIV

HAYASHI Y.LIBERACIÓN COLGAJO PEDICULADO

SIN DIVIDIRLO

Page 21: Técnica de Koyanagi en Hipospadias

OUPFIV

OUPFIV

HAYASHI Y.

URETROPLASTIAPOSTERIOR

Page 22: Técnica de Koyanagi en Hipospadias

OUPFIV

OUPFIV

HAYASHI Y.

URETROPLASTIAANTERIOR

Page 23: Técnica de Koyanagi en Hipospadias

OUPFIV

OUPFIV

HAYASHI Y.

GLANDULOCORPOPLASTIA

Page 24: Técnica de Koyanagi en Hipospadias

OUPFIV

KOYANAGI-HAYASHI URETHROPLASTYRESULTS 2001-2005

S.LORAT JACOBS,PARIS

fistula 7

meatal stenosis 1

meatal stenosis -uretrocele 1

meatal regression 2

TOTAL 11 38%

29 PACIENTES

Page 25: Técnica de Koyanagi en Hipospadias

BJU International 2001 87 (4), 414

AUGMENTED KOYANAGI-NOMOMURAONE-STAGE BUCKET REPAIR FOR PERINEAL HYPODPADIAS:

PRELIMINAR RESULTS

R. De Castro, J. ABU Daia and M.I. Abdul’AalyDivision of Paediatric Urology, KING FAISAL SPECIALIST HOSPITAL AND RESEARCH CENTRE.

RIYADH,SAUDI ARABIA

OUPFIV

Page 26: Técnica de Koyanagi en Hipospadias

DEMARCAR

DISECAR OUPFIV

Page 27: Técnica de Koyanagi en Hipospadias

SUTURAR

OUPFIV

Page 28: Técnica de Koyanagi en Hipospadias

%

VARIOS AUTORES

Page 29: Técnica de Koyanagi en Hipospadias

FUJI3.776

GRACIAS