Details

Autor(en) / Beteiligte

• Chen, Jia-Bo
• Yang, Ti-Quan
• Luo, Yi-Ge
• Wang, Hong
• Tang, Xian-Ming

Titel

Modified Mathieu urethroplasty for failed hypospadias repair

Ist Teil von

• Zhonghua nan ke xue, 2013-10, Vol.19 (10), p.923

Ort / Verlag

China

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• To review the indications, techniques and complications of reoperation for failed hypospadias repair using modified Mathieu urethroplasty. Using modified Mathieu urethroplasty, we treated 24 hypospadias patients aged 3-12 (mean 4.5) years for whom the first (n = 20) or the second hypospadias repair (n = 4) had failed, including 13 cases of large coronary sulcus urethrocutaneous fistula, 5 cases of urethral meatus retraction and 6 cases of anterior urethra dehiscence. The modified procedure involved median longitudinal incision of the urethral posterior wall, dorsal tunica albuginea plication under the vascular and nerve bundle, and double dartos flap protection of the neourethra. Of the 24 patients, 19 (79.2%) were successfully treated by the first operation, which achieved desirable straightness, good cosmetic appearance and normal urethral meatus of the penis, without postoperative complications. Small urethrocutaneous fistula developed in 4 cases, of which 3 were cured by fistula repair and 1 self-healed.