[Preputial reconstruction in surgical correction of distal hypospadia in children]

Treatment for distal hypospadia was conducted in 148 children aged from 11 months to 14 years admitted to the urological department of the Syktyvkar Central Children's Hospital in 1998-2010. Operation MAGPI was made in 12 (8.8%) children, TIP--in 87 (61.8%), Mathieu--in 15 (11.0%), displacing urethroplasty--in 25 (18.4%). Preputial reconstruction was performed in 29 (21%) children: in 21 in displacing urethroplasty and in 8 in conduction of TIP operation. The number of complications in displacing urethroplasty and TIP is less than in MAGPI and Mathieu operations. Significantly less number of complications was seen only in comparison of TIP with MAGPI. Operations with preputial reconstruction had no such complications as urethral fistula, meatostenosis and separation of the glans penis. Two cases of partial preputial separation after the operation were observed. Thus, preputial reconstruction can be conducted in most children with distal hypospadia, the risk of postoperative complications being the same.