Additionally, these surgeries incur a 26-68% risk of complications and hypospadias revision surgery carries an approximate twofold risk of complications likely because the ventral penile skin and Dartos fascia
are often deficient and poorly vascularized.
 Both Dartos fascia
and tunica vaginalis provide robust cover to the urethra and act as a barrier between the suture lines.
Fournier's gangrene (FG) is a fulminant necrotizing infection of the perianal and periurethral tissues that can disseminate even at the subcutaneous tissue of the thigh or the abdomen following the planes of the dartos fascia
of the scrotum and penis, Colle's fascia and Scarpa's fascia.1
and skin were both closed with absorbable suture.
Urogenital infections spread posteriorly along the Bucks and Dartos fascia
to involve the Colles' fascia, but do not reach the anal margin due to the attachment of the Colles' fascia to the perineal body.
Second layer of Dartos fascia
reduced the rate of fistula formation.
The testis was placed in the scrotum fixed to dartos fascia
with an absorbable suture through tunica albugenia and skin was approximated with su cuticular or closed with absorbable sutures (Fig- 2 and3).
Traditionally if the penis is generally normal and the penile skin, urethral plate, corpus spongiosum, and dartos fascia
are suitable for urethral reconstruction, one-stage urethroplasty is the surgery of choice, but in patients who have experienced failed hypospadias repair or in whom the penile skin, urethral plate, and dartos fascia
are not suitable for urethral reconstruction, two-staged urethroplasty is recommended .
The penile shaft was degloved to its base by sharply dissecting dartos fascia
from underlying Buck's fascia, exposing the mass, with the splayed neurovascular bundles overlying the mass easily identified.
The flap margins are sharply incised through the dermis and the pedicle is mobilized from the Dartos fascia
. The proximal anastomosis is performed and an onlay reconstruction is completed.
In the second type the urethra is completely developed, but the Buck's fascia and the Dartos fascia