Distal Hypospadias Surgery in Children: Experiences

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Objective: In this study, patients treated with distal hypospadias and discuscion of our results with literature were aimed. Material and Methods: 46 patients, who underwent distal hypospadias repair in the recent 2,5 years, were avaluated according to age, meatal localization, chordee status, the type of operation technique, postoperative urethral catheterization and hospitalization time, associated genitourinary anomalies, early and late complications. Results: 4 of 46 cases were treated with Meatoplasty and Glanuloplasty (MAGPI) technique and 42 of them were treated with Eccentric circummeatal-based (ECMB) flap technique combined with limited urethral mobilization. The mean age of patients, who followed-up17.54 months average, was 5.52 ± 1.51. Three cases were accompanied by chordee. There was no early postoperative complications but meatal stricture developed in 3 cases lately that respond to dilatation. Conclusion: ECMB distal flap repair is a technique that can be preferred in patients with hiposypadias, because of excellent surgical and cosmetic results, low complication rate, allowing to chordee correction.

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Distal hypospadias , surgery , ECMB flap repair , MAGPI

Kocatepe Medical Journal

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Kocatepe Medical Journal