title: Mathieu and 'V' incision sutured (MAVIS) results in a natural glanular meatus.
abstract: BACKGROUND
  The Mathieu hypospadias repair for distal hypospadias produces a horizontal bucket handle meatus, which is cosmetically unacceptable. A new surgical technique, the Mathieu and "V" Incision Sutured (MAVIS), is described.
  
  
  METHODS
  In 52 children, with a mean age of 16.5 months, distal hypospadias was repaired using the vascularized parameatal-based flip flap repair. A "V" incision at the apex of the flap, and suturing of each side of the V to the glans flaps followed by glanuloplasty achieved a natural vertical slit meatus.
  
  
  RESULTS
  The mean period of follow-up has been 19.7 months. Fistula occurred in 2 patients (3.9%) and was repaired successfully.
  
  
  CONCLUSIONS
  This technique of MAVIS provides a cosmetically acceptable natural vertical slit glanular meatus. A generous vascular pedicle on the flap covers the lateral suture lines to prevent fistulas.
authors.affiliation: Department of Paediatric Surgery, St George's Hospital, London, England.
authors.forename: S A
authors.initials: SA
authors.lastname: Boddy
authors.forename: M
authors.initials: M
authors.lastname: Samuel
mesh_terms: D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D013524:Surgical Flaps; D013521:Urologic Surgical Procedures, Male / Q000379:methods