Tags

Type your tag names separated by a space and hit enter

Megameatus intact prepuce hypospadias variant: application of tubularized incised plate urethroplasty.
Urology 2005; 66(4):861-4; discussion 864U

Abstract

OBJECTIVES

The characteristics of the megameatus intact prepuce (MIP) hypospadias variant present a unique challenge to surgeons. Dissatisfaction with the results of conventional repair methods led to the emergence of several alternative surgical approaches, including the glanular approximation (GAP) and pyramid procedures. The application of tubularized, incised plate (TIP) urethroplasty has not been documented in this setting.

METHODS

Twenty-four patients (mean age 18.5 months, range 6 to 60) presented with MIP. They had all been circumcised. The meatus was glanular in 6, coronal in 15, and distal shaft in 3 patients. Glanular MIP was repaired by meatal advancement and glanuloplasty (n = 2) or the GAP technique (n = 4). Coronal MIP was repaired by the GAP (n = 7) or TIP urethroplasty (n = 8), and distal shaft MIP was repaired by TIP urethroplasty (n = 3). Stents or catheters were used only with TIP urethroplasty. The mean follow-up period was 40 months (range 8 to 80).

RESULTS

Satisfactory cosmetic and functional results were achieved in 20 patients (83%). The other 4 patients included 1 patient who underwent GAP and meatoplasty and 3 of the 11 patients who underwent TIP urethroplasty, of whom 2 underwent meatoplasty and 1 simple local repair of a urethrocutaneous fistula without the need for urethral reconstruction.

CONCLUSIONS

The success rates for all selected techniques were satisfactory. TIP urethroplasty can be successfully used in the more severe, proximal forms of MIP.

Authors+Show Affiliations

Department of Urology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. yuvalbary@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16230154

Citation

Bar-Yosef, Yuval, et al. "Megameatus Intact Prepuce Hypospadias Variant: Application of Tubularized Incised Plate Urethroplasty." Urology, vol. 66, no. 4, 2005, pp. 861-4; discussion 864.
Bar-Yosef Y, Binyamini J, Mullerad M, et al. Megameatus intact prepuce hypospadias variant: application of tubularized incised plate urethroplasty. Urology. 2005;66(4):861-4; discussion 864.
Bar-Yosef, Y., Binyamini, J., Mullerad, M., Matzkin, H., & Ben-Chaim, J. (2005). Megameatus intact prepuce hypospadias variant: application of tubularized incised plate urethroplasty. Urology, 66(4), pp. 861-4; discussion 864.
Bar-Yosef Y, et al. Megameatus Intact Prepuce Hypospadias Variant: Application of Tubularized Incised Plate Urethroplasty. Urology. 2005;66(4):861-4; discussion 864. PubMed PMID: 16230154.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Megameatus intact prepuce hypospadias variant: application of tubularized incised plate urethroplasty. AU - Bar-Yosef,Yuval, AU - Binyamini,Joseph, AU - Mullerad,Michael, AU - Matzkin,Haim, AU - Ben-Chaim,Jacob, PY - 2005/02/03/received PY - 2005/03/14/revised PY - 2005/04/14/accepted PY - 2005/10/19/pubmed PY - 2005/12/13/medline PY - 2005/10/19/entrez SP - 861-4; discussion 864 JF - Urology JO - Urology VL - 66 IS - 4 N2 - OBJECTIVES: The characteristics of the megameatus intact prepuce (MIP) hypospadias variant present a unique challenge to surgeons. Dissatisfaction with the results of conventional repair methods led to the emergence of several alternative surgical approaches, including the glanular approximation (GAP) and pyramid procedures. The application of tubularized, incised plate (TIP) urethroplasty has not been documented in this setting. METHODS: Twenty-four patients (mean age 18.5 months, range 6 to 60) presented with MIP. They had all been circumcised. The meatus was glanular in 6, coronal in 15, and distal shaft in 3 patients. Glanular MIP was repaired by meatal advancement and glanuloplasty (n = 2) or the GAP technique (n = 4). Coronal MIP was repaired by the GAP (n = 7) or TIP urethroplasty (n = 8), and distal shaft MIP was repaired by TIP urethroplasty (n = 3). Stents or catheters were used only with TIP urethroplasty. The mean follow-up period was 40 months (range 8 to 80). RESULTS: Satisfactory cosmetic and functional results were achieved in 20 patients (83%). The other 4 patients included 1 patient who underwent GAP and meatoplasty and 3 of the 11 patients who underwent TIP urethroplasty, of whom 2 underwent meatoplasty and 1 simple local repair of a urethrocutaneous fistula without the need for urethral reconstruction. CONCLUSIONS: The success rates for all selected techniques were satisfactory. TIP urethroplasty can be successfully used in the more severe, proximal forms of MIP. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/16230154/Megameatus_intact_prepuce_hypospadias_variant:_application_of_tubularized_incised_plate_urethroplasty_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(05)00907-6 DB - PRIME DP - Unbound Medicine ER -