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Updated: Aug 9, 2026
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Modification of Mathieu procedure to repair anterior hypospadias
Muhammad Talat Mehmood1, Javed Ahmed, Muhammad Shahab Athar
1Department of Pediatric Surgery, Dow Medical College and Civil Hosrpital, Karachi. dr_talat_mehmood@yahoo.com
Objective:
To assess the results of one-stage repair of anterior hypospadias using modified Mathieu procedure.
Design:
An interventional study.
Place And Duration Of Study:
Department of Paediatric Surgery, Dow Medical College and Civil Hospital Karachi, from September 1997 to December 2003.
Patients And Methods:
All the patients with anterior hypospadias without or with minimal chordee were included. Patients with hypoplastic urethra or re-do surgery were excluded. Modified Mathieu repair was performed in all cases. The modifications used were interrupted inverting sutures of 5/0 polyglycolic acid for urethroplasty; neourethra covering with subcutaneous (dartos) pedicle flap, developed from the preputial or penile shaft skin and dorsal / anterior meatotomy for meatal stenosis.
Results:
A total of 69 patients with anterior hypospadias were operated using modified Mathieu s repair. Only two patients (2.89%) developed urethrocutaneous fistula. Five patients developed partial devitalisation of the covering skin while one patient had complete breakdown.
Conclusion:
Modified Mathieu s procedure is an effective method, to repair the anterior hypospadias without or with minimal chordee.
