MAGPI procedure in meatal regression after hypospadias repair.
OBJECTIVE
To evaluate the efficacy of MAGPI's procedure in children who had a meatal regression after hypospadias repair.


METHODS
Twenty-one children affected by post-hypospadias repair meatal regression underwent a modified MAGPI repair between January 1992 and January 1999: the patients, aged between 3 and 12 years (mean 5.9), had previously undergone hypospadias repair according to the techniques of Duplay (11 patients), Mathieu (2 patients), Snodgrass (5 patients) or the onlay buccal mucosa graft (3 patients). The outcome of the procedure was evaluated in terms of urinary stream and cosmetic appearance.


RESULTS
The results were good in 18 patients, fair in 2, unchanged in 1.


CONCLUSIONS
MAGPI's repair has proven to be very effective as a secondary procedure in meatal regression after hypospadias correction, with minimal morbidity and a highly successful outcome in terms of satisfactory functionality and cosmetic appearance, and the recovery of gaps as large as 9 mm.
Marte
A
A
Department of Paediatrics, Paediatric Surgery, Second University of Naples, Italy. amarte@tin.it
Di Iorio
G
G
De Pasquale
M
M
D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D010409:Penile Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D010413:Penis / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation; D014563:Urodynamics / Q000502:physiology; D013519:Urogenital Surgical Procedures / Q000009:adverse effects*