Megameatus with intact prepuce (MIP) hypospadias variant applicated tubularized incised plate (TIP) urethroplasty: A rare case report

Abstract

A megameatus with intact prepuce (MIP) is an unusual variant of an anterior hypospadias that accounts for 3% of hypospadias repairs. It is characterized by a widely splayed coronal or subcoronal meatus, a deep glanular groove, a normally conformed prepuce, and no chordee. In this case, good cosmetic and functional outcomes, such as achievement of a straight urine stream and patient satisfaction, were achieved using the tubularized incised plate (TIP) procedure. However, each case of MIP is unique, and a suitable procedure should be tailored to individual cases.

Prevalence and Impact of External Genitourinary Anomalies among Children undergoing routine Circumcision

“…A megameatus intact prepuce (MIP) is characterized by a widely splayed coronal or subcoronal meatus, a deep glanular groove, a normally conformed prepuce, and no chordee. 14 In our study megameatus Intact Prepuce Variant of Hypospadias are 12 cases which represent 0.4% including glanular, coronal, or subcoronal.…”

Tubularized incised plate urethroplasty for megameatus intact prepuce hypospadias variant: First reported case in Indonesia

“…7 , was chosen as the procedure of choice. Every patient's procedure should be based on the location of the meatus and specific anatomic features [ 2 ]. TIP procedure could result in an excellent penile performance and a very low complication rate [ 15 ].…”

“…It is characterized by a wide meatus, located on either the corona or sub corona, with a normally conformed prepuce and no chordee. Micturition or sexual physiology is usually not affected in patients with MIP [ 2 ]. However, an untreated case may potentially affect a hypospadias patient’s quality of life due to penile aesthetic and psychosexual reasons [ 3 ].…”