Eighty children with distal hypospadias were operated upon by this technique. It is a modification from the old Beck technique and is applicable only for distal types (coronal and subcoronal) with minimal chordae and rotation. The urethral meatus could be placed to the tip of the glans penis by mobilizing and advancing the urethra without constructing a neourethra. Children did not need catheterization or diversion. The average hospital stay was 2 days. Success rate was 98%. Children who developed fistulae were treated by simple closure of the defect.
[Show abstract][Hide abstract] ABSTRACT: The common problems after hypospadias surgery are urinary stream abnormalities, stricture formation, stenosis, and cosmetic deformities. This study demonstrates a new method for glanuloplasty that decreases these problems. A Z-shaped incision creating two triangular flaps is performed on the tip of the glans tO create a new urethral meatus. By using these flaps, satisfactory cosmetic and functional results are observed after repositioning of the urethral meatus.
[Show abstract][Hide abstract] ABSTRACT: A modification of the meatal advancement and glanuloplasty technique (MAGPI), the urethral advancement and glanuloplasty (UGPI), is described. Forty-seven patients, who had this operation from 1985 to 1994, have been reviewed. The overall complication rate was low with a 2.1% fistula rate and a 6.4% incidence of meatal retraction. Only one patient required secondary surgery.
British Journal of Plastic Surgery 05/1997; 50(3):206-11. DOI:10.1016/S0007-1226(97)91371-0 · 1.29 Impact Factor
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