ObjectiveTo compare outcomes of the Mathieu incised-plate (Mathieu-IP) technique vs the standard tubularised incised-plate (TIP) technique for primary management of distal hypospadias.Patients and methodsBetween April 2012 and August 2015, 66 patients (aged 15–60 months) with primary distal hypospadias were randomly allocated to two groups. Group 1 included 34 patients who underwent Mathieu-IP repair and Group 2 included 32 patients managed using the TIP technique for primary management of distal hypospadias. Postoperatively, all patients were examined weekly up to 1 month and then at 3 and 6 months. Perioperative data, complications and outcomes of both procedures were statistically analysed and compared.ResultsThere were no statistically significant differences in patient demographics between the groups at baseline. There was no statistically significant difference in the mean (SD) operative time between Groups 1 and 2, at 95 (7.6) and 91.2 (8.1) min, respectively. There was no statistically significant difference in the shape of the urine stream at micturition or the neomeatus between the groups postoperatively. The rate of postoperative fistula was significantly higher in Group 2 (TIP) compared to Group 1 (Mathieu-IP), at 18.7% vs 2.9% (P = 0.004). There was no postoperative meatal stenosis in Group 1, which did occur in five patients (15.6%) in Group 2 (P = 0.002).ConclusionThe Mathieu-IP technique appeared to be better than the standard TIP technique with regard to postoperative fistula formation and meatal stenosis, and with acceptable cosmesis.

Background and goal. Multiparametric resonance imaging (MRI) plays a vital role in the identification of prostate cancer. The aim of this study is to evaluate the function of MPMRI in 1,5-Tesla (1,5-T) prostatic carcinomas in high PSA patients. 50 patients were registered with PSA above 10 ng/ml for this prospective study authorised by this Ethics Board. Patients with a history of positive prostate biopsy and prostate cancer were excluded. All patients with 1,5-T MRI were targeted at transrectal ultrasound-led biopsies for confirming findings. The overall sensitivity, specificity, positive forecast value and negative predictive value with mp-MRI was 98.6%, 95%, 96% and 71%. Conclusion. Our results showed that the 1,5 T mp-MRI also serves as a triage method to avoid unnecessary invasive rectal biopsies which are very sensitive to prostate cancer.