title: Objective long-term evaluation after distal hypospadias repair using the meatal mobilization technique.
abstract: OBJECTIVE
  Meatal mobilization (MEMO) by distal urethral preparation has been demonstrated to be an efficient surgical technique for the correction of distal hypospadias offering excellent short-term success rates. This study objectively evaluates individual patient satisfaction using a validated score in the long term.
  
  
  METHODS
  A total of 218 patients who underwent hypospadias repair using the MEMO technique was identified. Of these, 104 (mean age at time of surgery 4.9 years, range 2-28 years) had a minimum follow-up of 5 years and were eligible for the study. They were investigated by physical examination and self-assessment. An objective evaluation using the validated Hypospadias Objective Scoring Evaluation (HOSE) was done in all patients.
  
  
  RESULTS
  Mean follow-up was 6.3 (range 5-8) years. Ninety-nine patients participated in the investigation, an overall survey response rate of 95.2%. One urethrocutaneous fistula occurred, but no cases of stenosis were noted. One patient developed a mild penile deviation during the postoperative follow-up. Ninety-three out of 99 patients reached the maximum of 16 points (median 15, range 12-16) on the HOSE symptom score.
  
  
  CONCLUSIONS
  The MEMO technique demonstrates a surgical success rate of 97% after 2 years. Even in the long-term follow-up of a mean 6.3 years objective outcome data and individual patient satisfaction were excellent. MEMO is a reliable and versatile method for distal hypospadias repair, as reflected by high patient satisfaction.
authors.affiliation: Department of Urology, Eberhard-Karls University, Tuebingen, Germany.
authors.forename: Joerg
authors.initials: J
authors.lastname: Seibold
authors.forename: Maren
authors.initials: M
authors.lastname: Werther
authors.forename: Saladin
authors.initials: S
authors.lastname: Alloussi
authors.forename: Georgios
authors.initials: G
authors.lastname: Gakis
authors.forename: David
authors.initials: D
authors.lastname: Schilling
authors.forename: Daniela
authors.initials: D
authors.lastname: Colleselli
authors.forename: Arnulf
authors.initials: A
authors.lastname: Stenzl
authors.forename: Christian
authors.initials: C
authors.lastname: Schwentner
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D055815:Young Adult