Is approximated de-epithelized glanuloplasty beneficial for hypospadiologist?
M ZakiEldahshoury1, W Gamal1, E Salem1
1Departamento de Urología, Sohag University Hospital, Sohag, Egipto.
Objective:
Further evaluation of the cosmetic and functional results of approximated de-epithelized glanuloplasty in different degree of hypospadias.
Material And Methods:
This study included 96 male patients (DPH=68 & MPH=28). Patients selected for repair with glans approximation should have wide urethral plate & grooved glans. All cases were repaired with the classic TIP and glans approximation technique. Follow up was for one year by clinical examination of the meatal shape, size & site, glans shape, skin covering, suture line, urethral catheter, edema & fistula in addition to parent satisfaction.
Results:
Mean operative time was 49±9minutes. As regards the functional and cosmetic outcomes, success was reported in 95.8%, while failure was in 4.16% in the form of glanular disruption in two patients and subcoronal urethrocutaneous fistula in another two patients.
Conclusion:
Glans approximation has many advantages, good cosmetic and functional results, short operative time, less blood loss, no need for tourniquet. Study of a large number of cases and comparing glans approximation with the classic TIP technique.
