Combined use of Mathieu and incised plate technique (Snodgrass technique) for repair of distal hypospadias in older children

Abstract

Objectives: To evaluate the results and complications after combined use of Mathieu and incised plate technique for management of distal hypospadias in older children. Patients and methods: A total of 33 patients with primary distal penile hypospadias were operated upon using the Mathieu technique combined with deep urethral plate incision (Snodgrass technique). Each patient was evaluated according to the site of original urethral opening, original urethral stenosis, the presence and degree of chordee. The operative and postoperative results and complications were reported. Follow up of the patients was done weekly for 3 weeks postoperatively and then every month for at least 1 year. Results: The mean age was 6.5 ± 2.5 years (range 6–9 years). Bleeding was reported in one case. Wound infection was reported in two cases. Forcible slippage of stent occurred in one case. Meatal stenosis occurred in two cases and urethrocutaneous fistula occurred in one case. No urethral stenosis was reported in any of the patients. Conclusion: Combined use of Mathieu and incised plate technique is suitable for primary distal hypospadias in older children with original meatal stenosis.

Keywords: Mathieu; Incised plate technique; Distal hypospadias; Older children

African Journal of Urology (2013) 19, 74–77