Outcome Analysis of the Modified Mathieu Hypospadias Repair: Comparison of Stented and Unstented Repairs

Hakim, Samuel; Merguerian, Paul A.; Rabinowitz, Ronald; Shortliffe, Linda D.; McKenna, Patrick H.

doi:10.1016/s0022-5347(01)65834-8

Cited by 71 publications

(49 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…S everal authors have reported excellent results with a stent-free tubularized incised plate (TIP) urethroplasty repair without an increase in the complication rate. [1][2][3][4] However, early postoperative urinary retention occurs in 2%-24% of patients. 3,5,6 In such cases, urethral catheterization is discouraged, as it is believed to increase the risk erection was induced to confirm a straight penis as necessary.…”

Section: Discussionmentioning

confidence: 99%

Nonstented tubularized incised plate urethroplasty with Y-to-I spongioplasty in non–toilet trained children

Almodhen

Alzahrani

Jednak

et al. 2013

CUAJ

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Nonstented tubularized incised plate urethroplasty with Y-to-I spongioplasty in non–toilet trained children

Almodhen

Alzahrani

Jednak

et al. 2013

CUAJ

View full text Add to dashboard Cite

show abstract

“…The length of the flap was detrimental, causing fistula formation, and a flap length of >14 mm increases the possibility of a decreased blood supply to the distal-based flap, resulting in a higher incidence of fistula. However, the occurrence of fistula is not dependent on stenting or not of the neourethra, as the reported overall complication rate for the unstented Mathieu repair was 3.6-18.9%, vs 2.6-21% for stented repairs [8,[21][22][23][24][25][26][27]. Although the Mathieu repair produces good functional results it is criticised for its poor cosmesis of the meatal configuration, which is often not ideal.…”

Section: Discussionmentioning

confidence: 99%

Distal hypospadias: which repair?

2002

View full text Add to dashboard Cite

Objective To compare the function, complications and cosmesis after a modified Thiersch-Duplay and Mathieu unstented urethroplasty. Patients and methods Over a 5-year period 381 consecutive patients (not randomized) with distal hypospadias were evaluated. A modified ThierschDuplay with dorsal incised urethral plate tubularization (group A) was undertaken in 170 (45%) and a parameatal based flip-flap Mathieu hypospadias repair (group B) in 211 (55%). No urinary diversion or stent was used in any of the 381 patients. Results In both groups the mean (SD) follow-up was 3.1 (1.4) years. All 381 patients voided spontaneously after surgery and none developed urinary retention needing catheterization. In groups A and B, respectively, the overall late complications were 12 (7.1%) and 32 (15.2%) (P=0.001), with urethrocutaneous fistula in six (3.5%) and 26 (12.3%; P=0.001); secondary surgery for fistula repair was successful in all boys in A and 89% in B. The glanular meatus was a vertical slit in all in group A and 86% in B (P=0.02). In both groups, 71% of the children who are now toilet-trained and standing to void have a good calibre, single and straight urinary stream in a forward direction. Conclusions Stenting or urinary diversion is unnecessary after distal hypospadias surgery. The functional results were good in those standing to void. A more natural vertical slit-like glanular meatus was easily created using the modified Thiersch-Duplay urethroplasty, with a lower fistula rate.

show abstract

“…19 An excellent result was achieved with few complications, although neither catheter drainage nor urinary diversion were used in any patients to prevent prolonged hospitalization and marked restriction of activity. Furthermore, Hakim et al reported that overall complication rates in the stented and unstented groups were not significantly different, 25 and the result indicates that successful meatal-based urethroplasty is independent of the use of a stent. In contrast, Buson et al compared the results of the meatal-based flap urethroplasty with stents and without stents.…”

Section: Discussionmentioning

confidence: 99%

Primary and salvage urethroplasty using Mathieu meatal‐based flip‐flap technique for distal hypospadias

et al. 2001

View full text Add to dashboard Cite

Background: Numerous surgical procedures have been attempted for correction of distal hypospadias. The Mathieu procedure was employed in this study for secondary cases as well as primary cases. Methods:The length of the skin flap is determined by measuring the distance from the meatus to the glans tip and then the ventral meatal-based skin flap is incised. The proximal skin flap is flipped and anastomosed to the distal urethral plate. Additionally, subcutaneous tissue of the flipped flap is sutured to cover the original suture lines completely. Results:The Mathieu urethroplasty was successful in one stage in 13 of the 16 primary repair cases (81%). Twelve of the 13 (92%) who underwent a secondary Mathieu procedure were successfully repaired with no problems. An overall success rate of 86% was achieved at the first operation for both primary and secondary cases. In the remaining 14% of the cases, success was achieved with only one additional procedure. Conclusions:The Mathieu flip-flap procedure is feasible for relatively short urethral defects if the ventral penile skin demonstrates adequate mobility and there is no chordee. Even in patients who require revisional hypospadias surgery, the Mathieu procedure can give excellent functional and cosmetic results.

show abstract

Outcome Analysis of the Modified Mathieu Hypospadias Repair: Comparison of Stented and Unstented Repairs

Cited by 71 publications

References 4 publications

Nonstented tubularized incised plate urethroplasty with Y-to-I spongioplasty in non–toilet trained children

Nonstented tubularized incised plate urethroplasty with Y-to-I spongioplasty in non–toilet trained children

Distal hypospadias: which repair?

Primary and salvage urethroplasty using Mathieu meatal‐based flip‐flap technique for distal hypospadias

Contact Info

Product

Resources

About