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- Title
Glanular Approximation Procedure in Megameatus Intact Prepuce: A Case Series.
- Authors
ERİKCİ, Volkan Sarper; SAYAN, Ali; ÖZTAN, Mustafa Onur; ÖZDEMİR, Tunç; KÖYLÜOĞLU, Gökhan
- Abstract
Objective: The megameatus intact prepuce (MIP) is a rare type of hypospadias which is usually diagnosed during circumcision. In this study, it is aimed to present our experience with glanular approximation procedure (GAP) in the management of MIP. Material and Methods: A retrospective study of 13 patients with MIP variant of hypospadias who were repaired between September 2017 and April 2019 using GAP technique was performed. The total number of hypospadias cases during the study period was 85 and MIP cases constituted 15.3% of these patients. The surgical aims in GAP are to achieve a conical glans containing vertical slit, tip-cited meatus and a normal projectile urine flow. Results: The age range of the patients was between 18 months and 7 years. The locations of urethral meatus were glanular in 8 and coronal in 5. In all the cases, the neourethra was constructed using 7/0 polydioxanone (PDS)® in a subcuticular and uninterrupted fashion. Except for 5 patients with coronal meatus that an intermediate layer from nearby dartos fascia was interposed to support urethroplasty suture line, no intermediate layer was transposed between the tissue layers with two overlying suture lines. Good cosmetic result was obtained in all patients with a normal appearing conical glans penis. One patient developed urethrocutaneous fistula requiring surgical closure. Conclusion: The MIP is a simple form of hypospadias which sometimes may produce problems to surgeons. The GAP procedure is a simple technique with good cosmetic results producing patient satisfaction. Except for more severe MIP cases, GAP technique is useful in hypospadiac patients with MIP especially having glanular and coronal meatus.
- Subjects
HYPOSPADIAS; URETHROPLASTY; PATIENT satisfaction; FORESKIN surgery; RETROSPECTIVE studies
- Publication
Journal of Reconstructive Urology, 2019, Vol 9, Issue 3, p95
- ISSN
2587-0483
- Publication type
Article
- DOI
10.5336/urology.2019-71404