A C van Horn1, E J Kass. 1. Department of Urology, William Beaumont Hospital, Royal Oak, Michigan, USA.
Abstract
PURPOSE: We describe glanuloplasty and in situ tubularization of the urethral plate, and report indications, results and complications. MATERIALS AND METHODS: We evaluated our surgical results using glanuloplasty and in situ tubularization of the urethral plate in 166 boys 5 months to 13.5 years old (mean age 20 months). RESULTS: Overall cosmetic results were excellent. No evidence of meatal stenosis, urethral stricture, residual chordee or ballooning of the neourethra was noted at followup. A small urethrocutaneous fistula that formed in 10% of the patients was successfully closed in a brief outpatient procedure. CONCLUSIONS: Glanuloplasty and in situ tubularization of the urethral plate is an excellent technique for the majority of boys with distal shaft and subcoronal hypospadias, producing a superior cosmetic result compared to the Mathieu procedure or meatal advancement and glanuloplasty.
PURPOSE: We describe glanuloplasty and in situ tubularization of the urethral plate, and report indications, results and complications. MATERIALS AND METHODS: We evaluated our surgical results using glanuloplasty and in situ tubularization of the urethral plate in 166 boys 5 months to 13.5 years old (mean age 20 months). RESULTS: Overall cosmetic results were excellent. No evidence of meatal stenosis, urethral stricture, residual chordee or ballooning of the neourethra was noted at followup. A small urethrocutaneous fistula that formed in 10% of the patients was successfully closed in a brief outpatient procedure. CONCLUSIONS: Glanuloplasty and in situ tubularization of the urethral plate is an excellent technique for the majority of boys with distal shaft and subcoronal hypospadias, producing a superior cosmetic result compared to the Mathieu procedure or meatal advancement and glanuloplasty.