The extended Mathieu procedure in coronal, distal penile, and midshaft hypospadias repair

1996 ◽  
Vol 11 (5-6) ◽  
pp. 359-362 ◽  
Author(s):  
M. Orkiszewski
Keyword(s):  
Hypospadias Repair ◽  
Mathieu Procedure

Combined Use of Mathieu Procedure with Plate Incision for Hypospadias Repair: A Randomized Clinical Trial

Urology ◽  
2008 ◽  
Vol 72 (2) ◽  
pp. 305-308 ◽  
Author(s):  
Alireza Aminsharifi ◽  
Alireza Taddayun ◽  
Ardalan Assadolahpoor ◽  
Abdolaziz Khezri
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Hypospadias Repair ◽  
Combined Use ◽  
Mathieu Procedure

scholarly journals Dartos flap coverage of the neourethra following repair for primary hypospadias, reoperative hypospadias and urethrocutaneous fistulas: it is a safe approach

2010 ◽  
Vol 25 (2) ◽  
pp. 190-193 ◽  
Author(s):  
Hayrettin Ozturk
Keyword(s):  
Redo Surgery ◽  
Hypospadias Repair ◽  
Urethrocutaneous Fistula ◽  
Operative Results ◽  
Flap Coverage ◽  
Distal Shaft ◽  
Dartos Flap ◽  
Hypospadias Surgery ◽  
Safe Approach ◽  
Mathieu Procedure

PURPOSE: Urethrocutaneous fistula and neourethral dehiscence are frequently seen complications of hypospadias surgery requiring reoperation. In this study we report the experience of one surgeon with dartos flap coverage in primary hypospadias, reoperative hypospadias and urethrocutaneous fistulas repair. METHODS: A total of 23 patients underwent hypospadias and urethrocutaneous fistulas repair from January 2006 to May 2009. Fourteen patients were operated on for primary hypospadias repair at our institution and 9 patients were admitted for hypospadias complications such as failed hypospadias repair and urethrocutaneous fistula. In all the patients, the dartos flap was dissected and transposed to cover the neourethra. Operative results were recorded. RESULTS: The primary surgical procedure was a one-stage repair in 61% (n = 14); tubularised incised plate (TIP) urethroplasty in 43% (n = 6) and a Mathieu procedure in 57% (n = 8). Urethrocutaneous fistulas complicating the previous initial hypospadias repair were anterior in 33% (n = 2), middle in 33% (n = 2) and proximal in 33% (n = 2). Repair of the fistula was successful on the first attempt in all patients. The reason for redo surgery in 3 patients was complete dehiscence and the patients had distal shaft hypospadias. CONCLUSION: Dartos flap coverage of the neourethra seems to be an effective method of reducing the fistulous complication rate following primary and secondary hypospadias repair.

scholarly journals Comparison of Modified Mathieu versus Standard Tubularised Incised-Plate Urethroplasty for Distal Hypospadias Repair

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Naeem M ◽  
◽  
Khan MK ◽  
Shah G ◽  
Izhar M ◽  
...  
Keyword(s):  
Categorical Variables ◽  
Fisher Exact Test ◽  
Hypospadias Repair ◽  
Urethral Plate ◽  
Meatal Stenosis ◽  
Group I ◽  
Tubularized Incised Plate ◽  
Distal Hypospadias ◽  
The Difference ◽  
Mathieu Procedure

Objective: To compare the outcomes of modified Mathieu versus standard tubularised incised-plate urethroplasty for distal hypospadias repair. Materials and Methods: This prospective comparative study was conducted on 54 cases affected by distal hypospadias presenting to Institute of Kidney Disease, Hayatabad, Peshawar form February 2015 to June 2020. The inclusion criteria was patients with distal hypospadias (coronal, sub-coronal, or distal penile), age range of 15 to 60 months. Cases with severe chordee/ventral curvature, history of previous hypospadias repair, and poorly developed urethral plate were excluded. The patients with distal hypospadias were divided into two equal groups: in-group I repair done with Mathieu procedure plus incision of the urethral plate (modified Mathieu) and in-group II repair was performed with Tubularized Incised Plate (TIP). The principal author performed functional and cosmetic assessment at follow up visits which includes; denvo meatus; size and pressure of the stream; and complications like meatal stenosis, urethral cutaneous fistula. Fisher Exact test was used to compare categorical variables between the two groups and student t test for continuous variables. Results: The mean age of the study was 38.13±12.55 months. The operating time was less in TIP than modified Mathieu procedure statistically (P=0.036, 95% CI=0.315, 9.02). In modified Mathieu procedure the sprayed stream of micturition was higher (n=4, 14.8%) while in TIP procedure the frequency of narrow stream was higher (n=4, 14.8%). The difference was statistically significant (P=0.054). Only in modified Mathieu procedure the meatus shape was round in 4 (14.8%) cases and the results were statistically different (P=0.038). Post-operative fistula was higher TIP (n=6, 22.2%) than modified Mathieu (n=1, 3.7%) statistically (P=0.043). Only in TIP procedure postoperative meatal stenosis was found in 5 (18.5%) and the difference was statistically significant (P=0.019). Conclusion: The modified Mathieu technique can improve the cosmetic outcome through creation of slit-like meatus, low incidence of fistula and meatal stenosis than tubularized incised plate urethroplasty in the repair of distal hypospadias.

360: A Contemporary Analysis of Two-Stage Hypospadias Repair

2007 ◽  
Vol 177 (4S) ◽  
pp. 120-120
Author(s):  
Pamela I. Ellsworth ◽  
Anthony Caldamone
Keyword(s):  
Hypospadias Repair ◽  
Two Stage

scholarly journals Laparoscopic excision of symptomatic prostatic utricle following proximal hypospadias repair

2021 ◽  
pp. 101982
Author(s):  
Hoa Viet Nguyen ◽  
Tuan Hong Vu ◽  
Quan Quy Hong ◽  
Hung Quang Pham ◽  
Chung Ta Vo ◽  
...  
Keyword(s):  
Hypospadias Repair ◽  
Proximal Hypospadias ◽  
Prostatic Utricle ◽  
Laparoscopic Excision

Time to event analysis for post-hypospadias repair complications: a single-surgeon experience

2021 ◽  
Author(s):  
Jin K. Kim ◽  
Mitchell Shiff ◽  
Michael E. Chua ◽  
Fadi Zu’bi ◽  
Jessica M. Ming ◽  
...  
Keyword(s):  
Event Analysis ◽  
Hypospadias Repair ◽  
Time To Event ◽  
Surgeon Experience
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