Modification of Mathieu procedure to repair anterior hypospadias.
OBJECTIVE
To assess the results of one-stage repair of anterior hypospadias using modified Mathieu procedure.


METHODS
An interventional study.


METHODS
Department of Paediatric Surgery, Dow Medical College and Civil Hospital Karachi, from September 1997 to December 2003.


METHODS
All the patients with anterior hypospadias without or with minimal chordee were included. Patients with hypoplastic urethra or re-do surgery were excluded. Modified Mathieu repair was performed in all cases. The modifications used were interrupted inverting sutures of 5/0 polyglycolic acid for urethroplasty; neourethra covering with subcutaneous (dartos) pedicle flap, developed from the preputial or penile shaft skin and dorsal / anterior meatotomy for meatal stenosis.


RESULTS
A total of 69 patients with anterior hypospadias were operated using modified Mathieu s repair. Only two patients (2.89%) developed urethrocutaneous fistula. Five patients developed partial devitalisation of the covering skin while one patient had complete breakdown.


CONCLUSIONS
Modified Mathieu s procedure is an effective method, to repair the anterior hypospadias without or with minimal chordee.
Mehmood
Muhammad Talat
MT
Department of Pediatric Surgery, Dow Medical College and Civil Hosrpital, Karachi. dr_talat_mehmood@yahoo.com
Ahmed
Javed
J
Athar
Muhammad Shahab
MS
Ashraf
Muhammad Sajjad
MS
D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis; D018570:Risk Assessment; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*