Retrospective analysis of mathieu’s urethroplasty for anterior hypospadias repair in circumcised children: A single center experience

Abstract

Introduction: Mathieu’s technique (peri-meatal based flap) makes use of the urethral plate in the repair of anterior hypospadias, thereby creating an almost natural neo-urethra. In a circumcised baby or after previous unsuccessful repair, Mathieu’s flap may be one of the few options left to
repair anterior hypospadias.
Objectives: To evaluate the result of Mathieu’s flap repair for anterior hypospadias in a resource poor setting.
Materials and Method: This is a retrospective review of post-circumcision anterior hypospadias managed by Mathieu’s flap repair between January 1996 and December 2006 in the paediatric surgical unit of the Obafemi Awolowo University Teaching Hospital, a tertiary hospital in the
South Western Nigeria.
Results: Mathieu’s flap repair was performed in 16 patients with isolated anterior hypospadias; 15 (93.8%) were circumcised before presentation. The complications were urethrocutaneous fistula in 3 (18.8%), wound infection in 2 (12.5%) and flap necrosis in 1 patient (6.3%). Final outcome
was satisfactory in all patients.
Conclusion: Mathieu’s flap remains a viable option in the repair of anterior hypospadias even after circumcision.