Outcome of urethral mobilization and advancement after anterior hypospadias surgery

Abstract

Background: In hypospadias surgery, despite continued refinement of various surgical procedures, there is no completely satisfactory technique in terms of complications and cosmesis. In recent literature, urethral mobilization and advancement (UMA) is gaining popularity in the management of distal penile hypospadias with no or very low complication rate as compared to all other techniques. The aim of this study is to share our results by using UMA in the management of anterior hypospadias with or without chordae. Results: A total of 60 patients of anterior hypospadias having the mean age 57.15 ± 38.73 months were included. The mean length of hospital stay was 2.83 ± 1.33 days. The only peroperative complication was urethral injury during urethral mobilization seen in one patient. The most common postoperative complication was hematoma seen in five (8.3%) cases. Two patients (3.3%) had retraction of urethra. One patient had wound infection. Stenosis was labeled in four (6.6%). At 3 months follow-up, 93.3% patients had slit-like meatus and good urinary stream. Conclusion: We found that UMA technique had good functional as well as excellent cosmetic outcome, so the technique can be adopted for anterior hypospadias correction.

Comparison of urethrocutaneous fistula after tubularized incised plate urethroplasty and urethral advancement and glanuloplasty incorporated in coronal hypospadias.

“…Haider N and colleagues witnessed 0% UCF in their study. 13 Similar to our finding, many other studies by Gite VA et al, Chakraborty AK et al and Hassan HS et al reported that none of their patients developed UCF after urethral mobilization and advancement granuloplasty. [14][15][16] Age is also a determinant of outcome in hypospadias surgery.…”

Urethral advancement and glanuloplasty versus tubularized incised plate urethroplasty for distal hypospadias repair: a prospective randomized study

“…Five cases had hematoma, and one had an infection; all were managed conservatively. The authors concluded that urethral mobilization and advancement result in good cosmetic and functional outcomes and can be utilized for distal hypospadias repair with a low incidence of complications, especially urethrocutaneous fistula [ 18 ]. Edan reported that the urethral mobilization technique is a good choice for distal hypospadias repair.…”

A comparative study of two operative procedures in anterior hypospadias repair: limited urethral mobilization and tubularized incised plate urethroplasty.

“…This technique with proven benefits and effectiveness, in the terms of cosmesis and functional outcomes, is recommended for the management of anterior hypospadias by various studies. 10,11,12,13 In 1994, Snodgrass first reported the tubularized incised plate urethroplasty. 14 The Snodgrass technique has become the optimal surgical option to repair anterior hypospadias.…”