Megameatus intact prepuce hypospadias variant: Application of tubularized incised plate urethroplasty

Bar-Yosef, Yuval; Binyamini, Joseph; Mullerad, Michael; Matzkin, Haim; Ben‐Chaim, Jacob

doi:10.1016/j.urology.2005.04.070

Cited by 25 publications

(35 citation statements)

References 7 publications

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“…Complication rate in Snodgrass repair range from 2-18%. 21,22 In the present study complication was seen in 20% of the children. Complication included urethrocutaneous fistula and meatal stenosis.…”

Section: Discussionsupporting

confidence: 55%

Short term outcomes of snodgrass urethroplasty in distal and mid penile hypospadias

Pramod

Anukethan

2018

Int Surg J

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Background: Hypospadias is common congenital condition. First attempted hypospadias surgery was done during first century A.D. Since then more than 300 techniques have been explained in the surgery for Hypospadias. The goal of surgery is focused on functional and cosmetic outcomes. In 1994 Snodgrass popularized the technique of urethral plate incision, tubularization and secondary dorsal healing for hypospadias repair. Aim of the study was to evaluate the short term outcomes of Snodgrass urethroplasty.Methods: This was a retrospective study conducted by the department of Pediatric Surgery, Kempegowda Institute of medical sciences (KIMS) hospital, Bangalore from 2014 to 2017. Children with mid penile and distal hypospadias who had undergone Snodgrass urethroplasty were enrolled in the study. Children with previous surgery were excluded. The demographic data, duration of surgery, post operative requirement of anticholinergics, duration of catheterization and post operative stay were tabulated. Children were followed up for duration of 6 months to 3 years. Post operative complications were tabulated. Results: 40 children were included in the study. Age ranges of children were between 9 months to 14 years. In most of the children hypospadias was diagnosed at birth. The mean duration of surgery was 97.25 minutes. The mean duration of hospitalization was12.2 day. The overall complications rate was 20%. The most common complication was urethrocutaneous fistula. Out of the 40 children included in the study 4(10%) children required resurgery (urethrocutaneous fistula closure).Conclusions: Snodgrass urethroplasty is a simple and effective technique. It is easy to learn and can be applied as a single stage procedure. The most common complications are urethrocutaneous fistula and meatal stenosis.

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Section: Discussionsupporting

confidence: 55%

Short term outcomes of snodgrass urethroplasty in distal and mid penile hypospadias

Pramod

Anukethan

2018

Int Surg J

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“…As most patients are circumcised, the penile skin is usually thin and scarred. A dissection of the wide meatus and urethral plate may result in thin glanular wings that are more prone to dehiscence and urethral fistula formation [6,9]. It has no effect on micturition or sexual physiology.…”

Section: Discussionmentioning

confidence: 99%

“…There is usually no effect on the micturition or sexual physiology [4]. Several technical approaches are used for MIP reconstruction, including the glanular approximation procedure (GAP), the pyramid procedure, and tubularized incised plate (TIP) urethroplasty [3,5,6].…”

Section: Introductionmentioning

confidence: 99%

Megameatus with intact prepuce (MIP) hypospadias variant applicated tubularized incised plate (TIP) urethroplasty: A rare case report

Aydogdu

Okur

Zeytun

et al. 2015

PUCR

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A megameatus with intact prepuce (MIP) is an unusual variant of an anterior hypospadias that accounts for 3% of hypospadias repairs. It is characterized by a widely splayed coronal or subcoronal meatus, a deep glanular groove, a normally conformed prepuce, and no chordee. In this case, good cosmetic and functional outcomes, such as achievement of a straight urine stream and patient satisfaction, were achieved using the tubularized incised plate (TIP) procedure. However, each case of MIP is unique, and a suitable procedure should be tailored to individual cases.

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“…This lengthens the subsequent urethroplasty but can serve several purposes, such as: reducing the urethra to a more normal caliber; preventing dog-earing at the proximal end of the urethroplasty; and removing thin, poorly vascularized tissue. A midline incision of the urethral plate is also optional in order to facilitate tension-free tubularization around an 8-French stent [3]. The urethroplasty may be performed in one or two layers using absorbable suture.…”

Section: Mobilization Of the Glans And Mucosal Collar Ismentioning

confidence: 99%

“…A variety of techniques have been described for and applied to megameatus repair, including the 'pyramid' procedure [2] and tubularized incised plate (TIP) urethroplasty [3]. The authors routinely use aspects of each technique in their approach, which is based on patient-specific anatomy.…”

Section: Introductionmentioning

confidence: 99%

Repair of megameatus: A modified approach

Faasse

Dray

Cheng

2015

Journal of Pediatric Urology

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Megameatus intact prepuce hypospadias variant: Application of tubularized incised plate urethroplasty

Cited by 25 publications

References 7 publications

Short term outcomes of snodgrass urethroplasty in distal and mid penile hypospadias

Short term outcomes of snodgrass urethroplasty in distal and mid penile hypospadias

Megameatus with intact prepuce (MIP) hypospadias variant applicated tubularized incised plate (TIP) urethroplasty: A rare case report

Repair of megameatus: A modified approach

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