The meatal mobilization technique for coronal/subcoronal hypospadias repair.
OBJECTIVE
To describe meatal mobilization (MEMO) by distal urethral preparation as an improved surgical technique for distal hypospadias repair, including glanular, coronal and subcoronal location of the meatus, with or without chordee.


METHODS
From May 2002 to June 2006, 46 patients (mean age 3.8 years, range 1.5-14) had a repair of glanular, coronal and subcoronal hypospadias using the MEMO technique. A description of the procedure and the results are presented.


RESULTS
The mean duration of surgery was 73 min; there were no complications during surgery in any of the patients. The follow-up was 28.5 months; after surgery one patient developed a haematoma, which resolved with no further treatment. There was neither recurrence nor any new episode of chordee or meatal stenosis. None of the patients developed a urethral fistula. In one patient the meatus retracted but remained in the glans.


CONCLUSIONS
Complications were minimal and the cosmetic results excellent using the MEMO technique for correcting most of distal hypospadias.
Seibold
Joerg
J
Department of Urology, University of Tuebingen, Hoppe-Seyler-Strasse 3, D-72076 Tuebingen, Germany. joerg.seybold@med.uni-tuebingen.de
Boehmer
Angela
A
Verger
Andreas
A
Merseburger
Axel S
AS
Stenzl
Arnulf
A
Sievert
Karl-Dietrich
KD
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D007902:Length of Stay; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods