Distal Penile Hypospadias (Disorder)
Conditions
Keywords
distal hypospadias, Mathieu urethroplasty, modified, urethral plate
Brief summary
the aim is to study the results of simple modification of classic Mathieu urethroplasty to increase the scope of cases candidates for that procedure.
Detailed description
background: Distal hypospadias repair is one of most frequent surgical interventions in pediatric age group. Successful hypospadias repair should provide a functional penis and good cosmesis. Mathieu urethroplasty is one of the most popular techniques used. Authors aimed at performing a modification that expanded the scope of indications and improved final cosmetic results of classic Mathieu urethroplasty. Methods: forty-three patients with distal hypospadias were operated by hybrid Mathieu urethroplasty (HMU) during the period from March 2012 to December 2020. Creation of the peri meatal based flap was performed as Mathieu disrobed. This was followed by developing of glanular wings. The additional step was deep incision of the urethral plate. Then, urethroplasty was performed. The catheter was left in place for one to three days.
Interventions
PROCEDUREhyebrid Mathieu Urethroplasty
incision of the urethral plate during the procedure
Sponsors
Tanta University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
6 Months to 4 Years
Healthy volunteers
No
Inclusion criteria
* distal penile hypospadias
Exclusion criteria
* sever hypospadias * cases need redo
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| successful treatment of distal penile hypospadias | 6 moths post operative | use of HOSE as a measure o success o repair |
| increase the scope of classic Mathieu urethroplasty | 6 months post operative | cases with glanular width from 10 mm to 15 mm were included |
Outcome results
None listed