title: Distal urethroplasty and glanuloplasty procedure: results of 512 repairs.
abstract: OBJECTIVE
  We describe the distal urethroplasty and glanuloplasty (DUG) procedure, a modification of the Thiersch-Duplay method, and report indications, outcomes, and complications.
  
  
  METHODS
  In all, 512 children with glanular, coronal, or subcoronal hypospadias variants underwent the DUG procedure.
  
  
  RESULTS
  Follow-up demonstrated excellent functional performance and cosmetic appearance. Complications included 5 fistulae, 2 meatal stenoses, and 4 distal breakdowns of the distal neourethra. The incidence of complications requiring secondary procedures was 2.1% for the entire group.
  
  
  CONCLUSIONS
  The DUG repair has allowed us to repair virtually all distal hypospadias variants using the Thiersch-Duplay method. The combined use of the Heineke-Mikulicz meatoplasty in patients with a stenotic meatus and the glanuloplasty as described by Zaontz has allowed the DUG repair to achieve excellent cosmetic and functional results.
authors.affiliation: Department of Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Stock
authors.forename: M K
authors.initials: MK
authors.lastname: Hanna
mesh_terms: D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D010413:Penis / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000379:methods; D014521:Urethra / Q000601:surgery