Is approximated de-epithelized glanuloplasty beneficial for hypospadiologist?

• Published in: Actas urológicas españolas (English ed.) 2016-05, Vol.40 (4), p.258-262
• Main Authors: ZakiEldahshoury, M, Gamal, W, Salem, E, Rashed, E, Mamdouh, A
• Format: Article
• Language: English
• Subjects: Approximated glanuloplasty; Glanuloplastia aproximada; Hipospadias; Hipospadiología; Hypospadias; Hypospadias repair; Hypospadiology; Reparación de hipospadias; Urethroplasty; Uretroplastia; Urology
• ISSN: 2173-5786; 2173-5786
• DOI: 10.1016/j.acuroe.2016.02.020

Abstract Objective Further evaluation of the cosmetic and functional results of approximated de-epithelized glanuloplasty in different degree of hypospadias. Material and methods This study included 96 male patients (DPH = 68 and MPH = 28). Patients selected for repair with glans approximation should have wide urethral plate and grooved glans. All cases were repaired with the classic TIP and glans approximation technique. Follow up was for 1 year by clinical examination of the meatal shape, size and site, glans shape, skin covering, suture line, urethral catheter, edema and fistula in addition to parent satisfaction. Results Mean operative time was 49 ± 9 min. As regards the functional and cosmetic outcomes, success was reported in 95.8%, while failure was in 4.16% in the form of glanular disruption in two patients and subcoronal urethrocutaneous fistula in another two patients. Conclusion Glans approximation has many advantages, good cosmetic and functional results, short operative time, less blood loss, no need for tourniquet.