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Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
[Treatment of anterior hypospadias: comparison of modified Mathieu and Duplay techniques (report of 840 children)]
1Unité d'urologie pédiatrique, service de chirurgie pédiatrique, université de la Méditerranée, AP-HM Nord, CHU Nord, chemin des Bourrelys, 13915 Marseille, France. tmerrot@ap-hm.fr
Purpose:
The objective of this study is the comparison of 2 surgical procedures in the treatment of primary anterior hypospadias including the evaluation of short-term and long-term results.
Patients And Methods:
A retrospective study of the results of the modified Mathieu procedure performed in 392 patients presenting with previously untreated anterior hypospadias at one center by the same experienced surgeon is compared with the results of the modified Duplay procedure performed in 457 patients in a second center by a second experienced surgeon, both series spanning a period of 10 years.
Results:
Follow-up ranged from 21 months to 10 years. Overall, 7 of 392 patients (1.7%) treated by the Mathieu procedure had complications requiring surgery compared to 32 of 457 patients (7%) treated by the Duplay procedure, a difference that is statistically significant (P < 0.05). Patient satisfaction was excellent in both groups and cosmetic results were considered satisfactory by the parents in all 843 patients.
Conclusion:
Both the modified Duplay and the Mathieu techniques are reliable procedures with reproducible results, a minimal risk of fistula formation as well as excellent cosmetic and functional results.
