Etude anatomique du laparoschisis (gastroschisis)

Juskiéwenski, S; Vaysse, P.; Guitard, J.; Moscovici, J.; Fourtanier, G

doi:10.1007/bf01654424

Cited by 5 publications

(2 citation statements)

References 69 publications

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“…MIP, or megameatus intact prepuce, is a congenital abnormality that may lead to urinary problems and aesthetic dissatisfaction in boys. The severity of clinical symptoms The literature suggests a rate of 6.5% for MIP among anterior hypospadias cases (9), but this was higher in our series (18.7%). Also, most of the patients were referred after evaluation for circumcision.…”

Section: Discussioncontrasting

confidence: 73%

Evaluation of Factors Affecting Surgical Success in Megameatus Intact Prepuce Cases

Bağcı,

Tekin,

Tiryaki Birol

et al. 2024

jpr

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Section: Discussioncontrasting

confidence: 73%

Evaluation of Factors Affecting Surgical Success in Megameatus Intact Prepuce Cases

Bağcı,

Tekin,

Tiryaki Birol

et al. 2024

jpr

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“…The condition was first described by Juskiewenski et al as glandular placed hypospadias, later evaluated in detail by Duckett and Keating, and the Pyramid procedure was offered as an effective surgery for it. 3,4 According to the urethral opening, it is further classified into three groups: glanular, coronal, and distal. 5 New publications have made reaching more extensive series and surgical options possible.…”

Section: Discussionmentioning

confidence: 99%

Megameatus Intact Prepuce: Families May Find it Diffucult to Give A Consent to Surgery in Non-Severe Cases, and the Surgery Can be More Difficult in Late Presentation

ŞİPAL,

SUÇEKEN

2023

J Reconstr Urol

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We presented rare 8 megameatus intact prepuce (MIP) hypospadias variants and perspectives of families and patients regarding the surgery and our outcomes. Material and Methods: The 8 glanular MIP cases were admitted to our clinic between 2020-2023, aged between 3 to 17. The 6 cases were presented for circumcision, 2 were admitted with self suspicions. A 17-year-old was admitted for abnormal meatal appearance, considering self-awareness in advanced age; an 11-year-old family had suspected an anomaly after circumcision. Meatuses were glanular in 5, coronal in two, and distal penile in one. Mathieu flap techniques for uncircumcised and meatal advancement and glanuloplasty (MAGPI) for circumcised cases were preferred. Results: In four cases, the family declined to have the operation, due to a perceived lack of abnormalities. Two uncircumcised MIP cases were successfully treated using Mathieu flap techniques. The one circumcised glanular MIP was repaired by the MAGPI technique, resulting in late fistula formation. The 17-year-old case was treated with Matheus techniques using prepuce flaps, but ended up with a late fistula formation due to unpreventable erection episodes. Conclusion: MIP ıs a rare hypospadias variant and ıs commonly concealed by the foreskin causing difficulty in detection, delayed diagnosis, sometimes even after circumcision, and may cause families to reject surgical correction due to a perceived lack of abnormalities. However, as it is shown in our series, a lack of preputial tissue or advanced age may negatively impact the operation's success. Families should be informed about the surgical difficulty in late presentation. The Mathieu techniques can be safely applied in non-circumcised MIP cases.

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The Abdominal Wall in Infants and Children

Juskiéwenski¹,

Galinier²

1998

Hernias and Surgery of the Abdominal Wall

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Etude anatomique du laparoschisis (gastroschisis)

Cited by 5 publications

References 69 publications

Evaluation of Factors Affecting Surgical Success in Megameatus Intact Prepuce Cases

Evaluation of Factors Affecting Surgical Success in Megameatus Intact Prepuce Cases

Megameatus Intact Prepuce: Families May Find it Diffucult to Give A Consent to Surgery in Non-Severe Cases, and the Surgery Can be More Difficult in Late Presentation

The Abdominal Wall in Infants and Children

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