Combined Use of Perimeatal-Based Flap Urethroplasty (Mathieu) with Midline Incision or Urethral Plate in Hypospadias Repair

András Kiss, P. Nyírády, L. Pirót, M. Merksz

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Perimeatal-based flap urethroplasty is commonly used for the primary correction of distal hypospadias. The Mathieu repair provides excellent function and satisfactory cosmetic results, but the risk of devascularisation of the neourethral flap is an inherent problem of this technique. The midline incision of the urethral plate is part of the Snodgrass method, which offers good urethral calibre and tension-free closure. Our aim was to test the effectiveness of the use of the perimeatal-based flap combined with a midline incision of the urethral plate in hypospadias repair. 19 boys, aged 20 months to 5 years, with distal hypospadias, underwent a one-stage repair using the above-described modification of the Mathieu technique. The meatal-based flap with a midline incision of the urethral plate was similar in all cases. The hypospadias repair was successful in all patients, only one boy developed a urethrocutaneous fistula which required subsequent operation. There was no postoperative scarring, chordee or urethral stricture during follow-up. Hypospadias repair using a perimeatal-based skin flap and combined with an incision of the urethral plate reduces complication rates and offers good cosmetic results.

Original languageEnglish
Pages (from-to)383-385
Number of pages3
JournalEuropean Journal of Pediatric Surgery
Volume13
Issue number6
DOIs
Publication statusPublished - Dec 2003

Fingerprint

Hypospadias
Cosmetics
Urethral Stricture
Fistula
Cicatrix
Skin

Keywords

  • Hypospadias
  • Incised urethral plate
  • Mathieu
  • Perimeatal flap

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Combined Use of Perimeatal-Based Flap Urethroplasty (Mathieu) with Midline Incision or Urethral Plate in Hypospadias Repair. / Kiss, András; Nyírády, P.; Pirót, L.; Merksz, M.

In: European Journal of Pediatric Surgery, Vol. 13, No. 6, 12.2003, p. 383-385.

Research output: Contribution to journalArticle

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