Hybrid Mathieu Urethroplasty

Tanta University43 enrolled

Overview

the aim is to study the results of simple modification of classic Mathieu urethroplasty to increase the scope of cases candidates for that procedure.

background: Distal hypospadias repair is one of most frequent surgical interventions in pediatric age group. Successful hypospadias repair should provide a functional penis and good cosmesis. Mathieu urethroplasty is one of the most popular techniques used. Authors aimed at performing a modification that expanded the scope of indications and improved 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. Creation of the peri meatal based flap was performed as Mathieu disrobed. This was followed by developing of glanular wings. The additional step was deep incision of the urethral plate. Then, urethroplasty was performed. The catheter was left in place for one to three days.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Distal Penile Hypospadias (Disorder)

Interventions

hyebrid Mathieu UrethroplastyPROCEDURE

incision of the urethral plate during the procedure

Eligibility

Sex: MALEMin age: 6 MonthsMax age: 4 Years

Medical Language ↔ Plain English

Inclusion Criteria: * distal penile hypospadias Exclusion Criteria: * sever hypospadias * cases need redo

Outcomes

Primary Outcomes

successful treatment of distal penile hypospadias

use of HOSE as a measure o success o repair

Time frame: 6 moths post operative

increase the scope of classic Mathieu urethroplasty

cases with glanular width from 10 mm to 15 mm were included

Time frame: 6 months post operative

Data from ClinicalTrials.gov

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