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. 2021 Jul 5:13:473-478.
doi: 10.2147/RRU.S318900. eCollection 2021.

Hybrid Mathieu Urethroplasty: A Simple Modification Outcomes

Mohammad Khirallah  1 , Nagi El-Dossuky  1
Affiliations

Hybrid Mathieu Urethroplasty: A Simple Modification Outcomes

Mohammad Khirallah et al. Res Rep Urol. .

Abstract

Background: Distal hypospadias repair is one of the most frequent surgical interventions in the pediatric age group. Successful hypospadias repair should provide a functional penis and good cosmetic results. Mathieu urethroplasty is one of the most popular techniques used. The authors aimed at performing a modification that expanded the scope of indications and improved the final cosmetic results of classic Mathieu urethroplasty.

Methods: Forty-three patients with distal hypospadias were operated by hybrid Mathieu urethroplasty (HMU) during the period from March 2012 to December 2020. All cases had small size glans. Creation of the perimeatal-based flap was performed as Mathieu disrobed. This was followed by the development of glanular wings. The additional step was deep incision of the urethral plate. Then, urethroplasty was performed. The catheter was left in place for 1-3 days.

Results: The mean age was 1.5 years, and the mean operative time was 67 minutes (60-75 minutes). The mean size of glans was 12 mm (10-15 mm). Fistula developed in three cases. No stricture or meatal regression developed. Infection with disruption of repair occurred in one case.

Conclusion: Hybrid Mathieu urethroplasty represents a reliable and successful solution for the cases of distal penile hypospadias with small glans and shallow urethral plate. It increases the scope of candidates of the Mathieu procedure, improves the final cosmetic results and has a reasonable rate of complications.

Keywords: Mathieu urethroplasty; distal hypospadias; modified Mathieu; urethral plate.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Subcoronal hypospadias with glanular wings less than 10mm and shallow urethral plate.
Figure 2
Figure 2
Early postoperative photo on day 5 postoperative.
Figure 3
Figure 3
Six months postoperative with the meatus in slit-like shape and vertical orientation.
Figure 4
Figure 4
Final appearance post circumcision.
See this image and copyright information in PMC

References

    1. Winslow BH, Devine CJ. Principles in repair of hypospadias. Semin Paediatr Surg. 1996;5:41. - PubMed
    1. Vallasciani S, Spangnoli A, Borsellino A, Martini L, Ferro F. Simplifying in surgical approach to glanular and coronal hypospadias: longitudinal urethral incision and glansoplasty. J Pediatr Urolo. 2007;3:453–456. doi:10.1016/j.jpurol.2007.06.004 - DOI - PubMed
    1. Elbakry A. Tubularized-incised urethral plate urethroplasty: is regular dilatation necessary for success. BJU Int. 1999;84:683–688. doi:10.1046/j.1464-410x.1999.00207.x - DOI - PubMed
    1. Holland A, Smith G. Effect of the depth and width of the urethral plate on tubularized incised plate urethroplasty. J Urol. 2000;164:489–491. doi:10.1016/S0022-5347(05)67408-3 - DOI - PubMed
    1. Wilkinson DJ, Farrelly P, Kenny SE. Outcomes in distal hypospadias: a systemic review of the Mathieu and tubularized incised plate repairs. J Pediatr Urol. 2012;8:307–312. doi:10.1016/j.jpurol.2010.11.008 - DOI - PubMed

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