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Review
. 2016 Oct-Dec;8(4):403-408.
doi: 10.4103/0974-7796.192097.

Primary hypospadias repair techniques: A review of the evidence

Warren Snodgrass  1 , Nicol Bush  1
Affiliations
Review

Primary hypospadias repair techniques: A review of the evidence

Warren Snodgrass et al. Urol Ann. 2016 Oct-Dec.

Abstract

This review summarizes data regarding commonly used surgical techniques to repair distal and proximal hypospadias. We review evidence concerning indications for various procedures used in primary hypospadias repair, and their complications, urinary function and esthetic results. Available evidence suggests TIP is preferable to Mathieu for distal hypospadias correction. Current data do not identify a clear preference between TIP and onlay flap for proximal repair when there is ventral curvature <30°, or between various flap and graft options when curvature is >31°. A review of objective data helps clarify decision-making for distal hypospadias repair. Additional objective evidence is needed to identify preferred options for proximal hypospadias repair. Measuring glansplasty dimensions (meatal size and distance from meatus to corona) may improve urinary function assessments, and provide additional objective data for decision-making between various surgical techniques.

Keywords: Complications; evidence; hypospadias; urethroplasty.

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References

    1. Duckett JW. MAGPI (meatoplasty and glanuloplasty): A procedure for subcoronal hypospadias. Urol Clin North Am. 1981;8:513–9. - PubMed
    1. Duckett JW, Snyder HM., 3rd Meatal advancement and glanuloplasty hypospadias repair after 1,000 cases: Avoidance of meatal stenosis and regression. J Urol. 1992;147:665–9. - PubMed
    1. Holland AJ, Smith GH. Effect of the depth and width of the urethral plate on tubularized incised plate urethroplasty. J Urol. 2000;164:489–91. - PubMed
    1. Sarhan O, Saad M, Helmy T, Hafez A. Effect of suturing technique and urethral plate characteristics on complication rate following hypospadias repair: A prospective randomized study. J Urol. 2009;182:682–5. - PubMed
    1. Snodgrass WT, Bush N, Cost N. Tubularized incised plate hypospadias repair for distal hypospadias. J Pediatr Urol. 2010;6:408–13. - PubMed