[Results of a standardized approach for various forms of hypospadias]

Hypospadias is a congenital malformation of the penis, in which the external meatus is ventrally situated. Proximal localisation and chordee result not only in cosmetic-psychologic but also in functional disturbances. Complete operative correction (a straight penis with the meatus on top) is performed around the second year. Various procedures are used depending on the localisation of the meatus. Glandular and coronal forms are managed in our series by the MAGPI operation. In the more proximal forms a preputial island flap operation, either as an onlay or as tube, is performed. The results of the MAGPI were good: only 3 of 27 children needed a second procedure. After island onlay operations a second operation was necessary in 5 of 8 children. Six of 7 patients with an island tube operation developed a fistula which was closed subsequently. The final result was good in all children, both from cosmetic and functional point of view.