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Results of tubularized urethral plate urethroplasty in Megameatus Intact Prepuce.
Indian J Urol 2017 Oct-Dec; 33(4):315-318IJ

Abstract

OBJECTIVE

The megameatus variant of anterior hypospadias with an intact complete foreskin occurs in approximately 1%-3% of hypospadias. Hence, the objective of the study was to evaluate the results of tubularized urethral plate urethroplasty (TUPU) in megameatus intact prepuce (MIP).

MATERIALS AND METHODS

A retrospective study (June 1996-June 2015) of MIP from our hypospadias registry was conducted. All patients with megameatus, either with an intact prepuce or with one previously removed, were included in the study. Case sheets of clinical records, investigations, clinical photographs, and videos were reviewed. Patients were classified into, glanular, coronal, subcoronal, and distal penile. TUPU were done. Patients were called for follow-up at 1, 3, 6, and 12 months postoperatively, and then yearly for the assessment of the cosmetic appearance and fistula, meatal stenosis, or other complications.

RESULTS

Of 1026 patients with hypospadias, we identified 13 cases of megameatus variant of hypospadias; three of the 13 had been circumcized previously. Glanular approximation was done for the one patients of the glanular variant, and another had frenuloplasty. These two patients were excluded from the study. Incision in the inner preputial skin was closed in 10 patients to have an intact prepuce. Follow-up period varied from 6 months to 4 years (median follow-up 2½ years). None of the patients developed complications such as fistula, meatal stenosis, and/or wound dehiscence.

CONCLUSIONS

Surgical correction of MIP in the era of increased cosmetic awareness is justified. Excellent results are obtained with TUPU and along with spongioplasty and frenuloplasty because of availability of wide urethral plate and well-developed spongiosum in these patients. TUPU should be the preferred procedure in cases of MIP.

Authors+Show Affiliations

Department of Urology, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.Department of Surgery, M.G. Medical College, Jaipur, Rajasthan, India.Department of Surgery, S.P. Medical College, Bikaner, Rajasthan, India.Department of Urology, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29021657

Citation

Bhat, Amilal, et al. "Results of Tubularized Urethral Plate Urethroplasty in Megameatus Intact Prepuce." Indian Journal of Urology : IJU : Journal of the Urological Society of India, vol. 33, no. 4, 2017, pp. 315-318.
Bhat A, Bhat M, Bhat A, et al. Results of tubularized urethral plate urethroplasty in Megameatus Intact Prepuce. Indian J Urol. 2017;33(4):315-318.
Bhat, A., Bhat, M., Bhat, A., & Singh, V. (2017). Results of tubularized urethral plate urethroplasty in Megameatus Intact Prepuce. Indian Journal of Urology : IJU : Journal of the Urological Society of India, 33(4), pp. 315-318. doi:10.4103/iju.IJU_361_16.
Bhat A, et al. Results of Tubularized Urethral Plate Urethroplasty in Megameatus Intact Prepuce. Indian J Urol. 2017;33(4):315-318. PubMed PMID: 29021657.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Results of tubularized urethral plate urethroplasty in Megameatus Intact Prepuce. AU - Bhat,Amilal, AU - Bhat,Mahakshit, AU - Bhat,Akshita, AU - Singh,Vikash, PY - 2017/10/13/entrez PY - 2017/10/13/pubmed PY - 2017/10/13/medline SP - 315 EP - 318 JF - Indian journal of urology : IJU : journal of the Urological Society of India JO - Indian J Urol VL - 33 IS - 4 N2 - OBJECTIVE: The megameatus variant of anterior hypospadias with an intact complete foreskin occurs in approximately 1%-3% of hypospadias. Hence, the objective of the study was to evaluate the results of tubularized urethral plate urethroplasty (TUPU) in megameatus intact prepuce (MIP). MATERIALS AND METHODS: A retrospective study (June 1996-June 2015) of MIP from our hypospadias registry was conducted. All patients with megameatus, either with an intact prepuce or with one previously removed, were included in the study. Case sheets of clinical records, investigations, clinical photographs, and videos were reviewed. Patients were classified into, glanular, coronal, subcoronal, and distal penile. TUPU were done. Patients were called for follow-up at 1, 3, 6, and 12 months postoperatively, and then yearly for the assessment of the cosmetic appearance and fistula, meatal stenosis, or other complications. RESULTS: Of 1026 patients with hypospadias, we identified 13 cases of megameatus variant of hypospadias; three of the 13 had been circumcized previously. Glanular approximation was done for the one patients of the glanular variant, and another had frenuloplasty. These two patients were excluded from the study. Incision in the inner preputial skin was closed in 10 patients to have an intact prepuce. Follow-up period varied from 6 months to 4 years (median follow-up 2½ years). None of the patients developed complications such as fistula, meatal stenosis, and/or wound dehiscence. CONCLUSIONS: Surgical correction of MIP in the era of increased cosmetic awareness is justified. Excellent results are obtained with TUPU and along with spongioplasty and frenuloplasty because of availability of wide urethral plate and well-developed spongiosum in these patients. TUPU should be the preferred procedure in cases of MIP. SN - 0970-1591 UR - https://www.unboundmedicine.com/medline/citation/29021657/Results_of_tubularized_urethral_plate_urethroplasty_in_Megameatus_Intact_Prepuce L2 - http://www.indianjurol.com/article.asp?issn=0970-1591;year=2017;volume=33;issue=4;spage=315;epage=318;aulast=Bhat DB - PRIME DP - Unbound Medicine ER -