title: Is approximated de-epithelized glanuloplasty beneficial for hypospadiologist?
abstract: OBJECTIVE
  Further evaluation of the cosmetic and functional results of approximated de-epithelized glanuloplasty in different degree of hypospadias.
  
  
  METHODS
  This study included 96 male patients (DPH=68 & MPH=28). Patients selected for repair with glans approximation should have wide urethral plate & grooved glans. All cases were repaired with the classic TIP and glans approximation technique. Follow up was for one year by clinical examination of the meatal shape, size & site, glans shape, skin covering, suture line, urethral catheter, edema & fistula in addition to parent satisfaction.
  
  
  RESULTS
  Mean operative time was 49±9minutes. As regards the functional and cosmetic outcomes, success was reported in 95.8%, while failure was in 4.16% in the form of glanular disruption in two patients and subcoronal urethrocutaneous fistula in another two patients.
  
  
  CONCLUSIONS
  Glans approximation has many advantages, good cosmetic and functional results, short operative time, less blood loss, no need for tourniquet. Study of a large number of cases and comparing glans approximation with the classic TIP technique.
authors.affiliation: Departamento de Urología, Sohag University Hospital, Sohag, Egipto. Electronic address: m.eldahshoury@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: ZakiEldahshoury
authors.affiliation: Departamento de Urología, Sohag University Hospital, Sohag, Egipto.
authors.forename: W
authors.initials: W
authors.lastname: Gamal
authors.affiliation: Departamento de Urología, Sohag University Hospital, Sohag, Egipto.
authors.forename: E
authors.initials: E
authors.lastname: Salem
authors.affiliation: Departamento de Urología, Sohag University Hospital, Sohag, Egipto.
authors.forename: E
authors.initials: E
authors.lastname: Rashed
authors.affiliation: Departamento de Urología, Sohag University Hospital, Sohag, Egipto.
authors.forename: A
authors.initials: A
authors.lastname: Mamdouh
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D010413:Penis / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods
keywords: Approximated glanuloplasty; Glanuloplastia aproximada; Hipospadias; Hipospadiología; Hypospadias; Hypospadias repair; Hypospadiology; Reparación de hipospadias; Urethroplasty; Uretroplastia