Double Y glanuloplasty for glanular hypospadias.
OBJECTIVE
A double Y glanuloplasty technique is described for the repair of glanular hypospadias with mobile meatus.


METHODS
Ninety-seven children with glanular hypospadias and mobile meatus were operated on using this technique in the period from January 2003 to January 2009. Mean age of patients was 12 (range, 4-60) months.


RESULTS
Patients were discharged home within 3 days. The operation resulted in a slit-like meatus. Follow-up ranged from 8 months to 6 years (mean, 45 months). Good cosmetic and functional results were obtained in 94 patients. Complications occurred in 3 patients (3%). Two patients experienced meatal stenosis. This was corrected using ventral meatotomy. One patient suffered from dehiscence of the wound and retraction of the meatus. The meatal retraction was corrected using a modified inverted Y Mathieu technique.


CONCLUSIONS
The double Y glanuloplasty technique is suitable for appropriately selected patients with glanular hypospadias and mobile meatus. It provides a cosmetically natural vertical slit at the tip of the glans.
Hadidi
Ahmed T
AT
Pediatric Surgery Department, Offenbach Klinikum, Offenbach, Germany. ahmedthadidi@yahoo.de
D002675:Child, Preschool; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000473:pathology / Q000601:surgery*; D007223:Infant; D007902:Length of Stay; D008297:Male; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome; D014521:Urethra / Q000002:abnormalities / Q000601:surgery*; D014554:Urination / Q000502:physiology; D013521:Urologic Surgical Procedures, Male / Q000379:methods*