Megameatus and Intact Prepuce (MIP) Associated with Meatal Web - a Case Report

Şanal, Murat; Karadag, E.; Konca, Y.; Kocabasoglu, U.

doi:10.1046/j.1563-2563.2000.00035.x

Cited by 8 publications

(7 citation statements)

References 5 publications

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“…3 The incidence of MIP among hypospadiac cases in the literature is 3-6%. [3][4][5] A rather high incidence of 15.3% of all hypospadias cases in our series with respect to those reported may be explained that our clinic is a referral center for these unusual variant of hypospadias cases.…”

Section: Discussionsupporting

confidence: 39%

Glanular Approximation Procedure in Megameatus Intact Prepuce: A Case Series

Erikçi¹,

Sayan²,

Öztan³

et al. 2019

J Reconstr Urol

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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. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : 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. R Re es su ul lt ts s: : 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. C Co on nc cl lu us si io on n: 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. K Ke ey yw wo or rd ds s: : Hypospadias; megameatus intact prepuce; glanular approximation technique Ö ÖZ ZE ET T A Am ma aç ç: : Megameatus intakt pepisyum (MİP) nadir bir hipospadias çeşididir ve sıklıkla sünnet sırasında saptanır. Bu çalışmada MİP'li olgulardaki glanuler yaklaştırma tekniğine (GYT) ait tecrübemiz sunulmuştur. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Eylül 2017 ile Nisan 2019 tarihleri arasında MİP'li 13 olgu GYT ile tedavi edilmişlerdir. Çalışma dönemindeki toplam hipospadias olgu sayısı 85 olup bunların %15,3'ünü MİP olguları teşkil etmektedir. Sunulan teknikteki amaç koni şekilli glans, uca yerleşik üretral meatus ve normal projektilitesi olan idrar akımı elde etmektir. B Bu ul lg gu u-l la ar r: : Olguların yaş aralığı 18 ay ile 7 yıl arasında değişmektedir. Üretral meatus yerleşimi 8 olguda glanuler, 5 olguda da koronal düzeydedir. Tüm olgularda neoüretra 7/0 polidioksanone (PDS) ® kullanılarak subkütiküler devamlı dikiş tekniği ile oluşturulmuştur. Koronal düzeyde meatusu buluna 5 olgu dışında hiçbir olguya orijinal GYT'deki gibi doku tabakaları arasına herhangi bir ara tabaka konulmamıştır ve iki sütür hattı üst üste gelmektedir. Tüm olgularda konik şekilli glans penisin elde edildiği tatminkar bir kozmetik sonuç alınmıştır. Bir olguda ür...

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Section: Discussionsupporting

confidence: 39%

Glanular Approximation Procedure in Megameatus Intact Prepuce: A Case Series

Erikçi¹,

Sayan²,

Öztan³

et al. 2019

J Reconstr Urol

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“…The evidence of it lies with the existence of a double grove in all cases as shown in Figure 1 as well as figures in the published literature. [ 2 5 10 11 ]…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of MIP in our series was 1.26% which is much less than reported in the literature. [ 1 2 3 4 ] Warren et al . noticed 15% incidence of MIP in consecutive 551 distal hypospadias cases.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the people favor surgery. [ 1 2 3 4 8 9 ] However, others are of the opinion that the intact prepuce plays the role of a funnel, directing urine as well as semen appropriately and lack of urinary symptoms, successful parity and in the absence of psychological stress questions the need of surgery in such patients. [ 5 ] This observation was based on the case report only that too in a 41-year-old male.…”

Section: Discussionmentioning

confidence: 99%

“…It is an unusual, anterior hypospadias variant contributes approximately 3%–6% of total hypospadias cases. [ 1 2 3 4 ]…”

Section: Introductionmentioning

confidence: 99%

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Results of tubularized urethral plate urethroplasty in Megameatus Intact Prepuce

Bhat

et al. 2017

Indian J Urol

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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.

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Eingeladener Kommentar zu: „Megameatus mit intaktem Präputium (MIP) assoziiert mit einer Meatusfalte — ein Fallbericht“

Hubmer

2000

Acta Chir. Austriaca

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Megameatus and Intact Prepuce (MIP) Associated with Meatal Web - a Case Report

Cited by 8 publications

References 5 publications

Glanular Approximation Procedure in Megameatus Intact Prepuce: A Case Series

Glanular Approximation Procedure in Megameatus Intact Prepuce: A Case Series

Results of tubularized urethral plate urethroplasty in Megameatus Intact Prepuce

Eingeladener Kommentar zu: „Megameatus mit intaktem Präputium (MIP) assoziiert mit einer Meatusfalte — ein Fallbericht“

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