One-Stage Hypospadias Repair

Ghali, A.; El-Malik, E.M.A.; Al-Malki, Talal; Ibrahim, A.H.

doi:10.1159/000020027

Cited by 30 publications

(11 citation statements)

References 14 publications

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“…The Mathieu procedure is the most popular in these patients. Ghali et al [8] in their study of 216 patients reported complication and success rates of 22 and 95%, respectively (follow-up period 23 months). In contrast, Minevich et al [11] reported that they followed their patients for about 54 months and found that 1.5% of them needed a second operation.…”

Section: Discussionmentioning

confidence: 95%

“…There are many methods of hypospadias repair for cases without or with minimal chordee in whom the meatus is located in the distal or in the mid part of the penile shaft [7,8,10]. The Mathieu procedure is the most popular in these patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, today many single-stage surgical methods based on the presence of chordee instead of the location of the meatus have become popular. Among these methods, meatal advancement and glanuloplasty is preferred for repair of hypospadias located in the glans penis [2], preputial tube flaps for hypospadias with chordee [3], and perimeatal flap (Mathieu, Mustarde) and onlay island flap for hypospadias without or with minimal chordee [4][5][6][7][8]. Indeed, all these methods are indicated in certain conditions.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Two Methods – Mathieu and Snodgrass – in Hypospadias Repair

İmamoğlu

Bakırtaş

2003

Urol Int

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Introduction: Perimeatal flap (Mathieu) and tubularized incised-plate (Snodgrass) methods were compared regarding success rate, postoperative complications, and cosmetic appearance in primary and recurrent distal hypospadias cases with normal urethral plates. Patients and Methods: Between 1995 and 2001 Snodgrass-type repair was done in 32 primary and in 24 recurrent hypospadias cases (total 56 patients; mean age 5.8, age range 3–17 years), and Mathieu-type repair was done in 33 primary and in 21 recurrent distal hypospadias cases (total 54 patients; mean age 5.2, age range 2–19 years). There was no statistically significant difference between groups regarding demographics. Patients with primary hypospadias either without or with minimal chordee and patients with recurrent hypospadias only with a normal urethral plate were included in the study. The mean postoperative follow-up period was 24 months. Results: Meatal stricture formation, fistula formation, wound dehiscence, and flap necrosis were seen in 2, 4, 4, and 2 patients, respectively, treated with the Mathieu technique and in 5, 4, 3, and 0 patients, respectively, treated with the Snodgrass technique. Wound dehiscence and flap necrosis were seen less frequently, whereas meatal stenosis was more common in the Snodgrass group (p < 0.05, p < 0.05, and p > 0.05, respectively; χ² test). There was no difference between groups regarding fistula formation. Mean hospital stay, time to stent withdrawal, and urinary diversion period were shorter in the Mathieu group (7.5 ± 1.19 vs. 5.7 ± 1.38 days, 7.1 ± 0.67 vs. 5.4 ± 0.85 days, and 14.1 ± 1.17 vs. 10.2 ± 1.72 days, respectively; p < 0.001 for all). The total success rates were similar (78.6% in the Snodgrass group and 77.8% in the Mathieu group). Cosmetic appearance was highly satisfactory in the Snodgrass group. Conclusions: We believe that the Snodgrass method should be preferred for primary and recurrent hypospadias cases without chordee or with minimal chordee and with a normal urethral plate due to its lower complication rate and its satisfactory cosmetic appearance. However, when a healthy urethral plate is not available, Mathieu-type repair can be preferred.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of Two Methods – Mathieu and Snodgrass – in Hypospadias Repair

İmamoğlu

Bakırtaş

2003

Urol Int

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“…Hypospadias cases with scrotal or penoscrotal location and with severe degree of chordee necessitate application of specific methods (9). In the same way there are a lot of methods (6,7,9) defined for the treatment of hypospadias cases without chordee or with minimal chordee in which meatus is present in midpenil or distal location. However, it is also known that some authors have concerns about these methods (7,8).…”

Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 99%

“…In the same way there are a lot of methods (6,7,9) defined for the treatment of hypospadias cases without chordee or with minimal chordee in which meatus is present in midpenil or distal location. However, it is also known that some authors have concerns about these methods (7,8). The idea that the tubularized incised plate method could be a convenient technique for the hypospadias cases defined lastly has been favored by a gradually increasing number of supporters in recent years.…”

Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 99%