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Updated: Oct 20, 2026
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Urethral mobilization and meatal advancement: a surgical principle in hypospadias repair
H Hamdy1, M A Awadhi, K H Rasromani
1Arabian Gulf University, College of Medicine and Medical Sciences, P. O. Box 22979, Bahrain.
Insights
Urethral mobilization and advancement is a safe and effective hypospadias repair technique. This method successfully bridges urethral defects, particularly in distal hypospadias, with minimal complications.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Congenital Abnormalities
Background:
- Hypospadias repair presents challenges in achieving adequate urethral length.
- Urethral mobilization and advancement offers a method to utilize tissue elasticity for defect bridging.
Purpose of the Study:
- To evaluate the efficacy and safety of urethral mobilization and advancement in hypospadias repair.
- To assess outcomes in children with distal and proximal hypospadias.
Main Methods:
- A cohort of 56 children underwent urethral mobilization and advancement.
- The technique was used as a sole procedure in 46 distal hypospadias cases.
- It was combined with other techniques in 10 proximal hypospadias cases.
Main Results:
- No postoperative fistulas occurred in distal hypospadias cases.
- Complications included meatal stenosis (3) and urethral injury (1) in distal cases, all managed successfully.
- Proximal hypospadias cases had 3 minor fistulas and 1 meatal stenosis.
Conclusions:
- Urethral mobilization and advancement is a safe and effective surgical option for hypospadias.
- It can be the primary procedure for distal hypospadias or an adjunct for proximal cases.
Abstract:
A technique of urethral mobilization and advancement in hypospadias repair using the urethral elasticity to partially or completely bridge the defect in urethral length was employed in 56 children. In 46 with distal hypospadias it was the only procedure used. In 10 with proximal hypospadias, it was combined with other techniques. In distal hypospadias, no postoperative fistula occurred. Complications of the operation were 3 meatal stenoses that responded to dilatation, 1 urethral injury immediately repaired with no consequent fistula, and 1 chordee that was subsequently corrected. Of the 10 children with proximal hypospadias, 3 developed minor fistulae and 1 meatal stenosis. Urethral mobilization was found to be a safe and effective procedure in the management of hypospadias. It could be the only procedure required in distal hypospadias, or in combination with other procedures in proximal hypospadias.
