A comparison of the Mustardé and Horton-Devine flip-flap techniques of hypospadias repair.
We compared the results and complications of the Horton-Devine flip-flap and Mustardé techniques for 1-stage repair of distal hypospadias. Followup has been for at least 1 year so that long-term complications could be included. Urethral fistulas occurred in 6 of 20 patients treated with the Horton-Devine flip-flap and 3 of 20 who underwent the Mustardé repair. No strictures were noted with either procedure. In our opinion the meatus had a better configuration after the Mustardé repair. We conclude that the Mustardé procedure provides a more satisfying cosmetic and clinical result.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D008722:Methods; D011183:Postoperative Complications / Q000209:etiology; D013524:Surgical Flaps; D013997:Time Factors; D014522:Urethral Diseases / Q000209:etiology; D014548:Urinary Fistula / Q000209:etiology