Subscribe to RSS
DOI: 10.1055/s-0039-1700458
Urethral advancement technique for repair of distal penile hypospadias: A revisit
Publication History
Publication Date:
15 January 2020 (online)
Abstract
Background: Numerous ingenious methods have been described to repair hypospadias with variable results. The anterior urethral advancement technique reported by Chang[1] to repair distal hypospadias has shown encouraging results. We have reevaluated this technique with some modifications to improve its results.
Materials and Methods: This study was done on 72 patients, 19 cases with glanular hypospadias, 20 cases with coronal hypospadias, 22 cases of subcoronal hypospadias,and 11 cases with anterior penile hypospadias in the period between September 1999 and October 2003. The patients′ age ranged from two years to twenty five years (median age 5.6) years. All the patients were operated using Chang′s technique with our modifications.
Results: There were no major complications in any of our patients, no postoperative fistulae or urethral stricture. Three patients had meatal stenosis and preputial edema occurred in 83.3% in non-circumcised patients.
Conclusion: Modifications of the anterior advancement technique has produced excellent Results. It is easy to do and learn and also offers good cosmetic and functional results.
- 1 Rabinovitch HR. Experience with a modification of the Cloutier technique for hypospadias repair. J Urol 1988; 139: 1017-9
- 2 Ti ChangShing. Anterior advancement a one stage technique for hypospadias repair. Br J Plast Surg 1984; 37: 530-5
- 1 Duckett JW. Hypospadias in Camplles Urology. 7th ed.. Edited by Walsh AB, Retick ED. et.al WB Saunders Co; Philadelphia: 1998: 2093-19
- 3 Duckett JW. MAGPI (meatoplasty and lanuloplasty) a procedure for subcoronal hypospadias. 1981 J Urol 2002; 167: 2153-6
- 4 Saadi MMEl. Anterior urethral advancement technique for repair of hypospadias: Experience with 55 patients. Zagazig Med Assoc J 1995; 1: 31-7
- 5 Snodgrass W, Lorenzo A. Tabularized incised plate urethroplasty for hypospadias reoperation. BJU Int 2002; 89: 98-100
- 6 Koff SA. Mobilization of the urethra in surgical treatment of hypospadias. J Urol 1981; 125: 394-7
- 7 Haberlik A, Schmitt BFF, Uroy FVF, Mayer J. Hypospadias using a modification of Bech′s Operation: Follow up. J Urol 1997; 157: 2308-11
- 8 Durham SE. Hypospadias in Ashcroft (ed). Pediatric Urology 1990; p. 353-93
- 9 Wacksman JK. Modification of the one stage hypospadias flip flap procedure to repair distal penile hypospadias. Urol Clin North Am 1991; 8: 527-9
- 10 Elbakry A.. Tabularized - Incised urethral plate urethroplasty: Is regular dilatation necessary for success. BJU Int 1999; 84: 683-8
- 11 Duel DB, Barehold JS, Gonales RE. Management of urethral stricture after hypospadias repair. J Urol 1998; 160: 170-1