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The GAP (glans approximation procedure) for glanular/coronal hypospadias.

M R Zaontz1

  • 1Division of Urology, Children's Memorial Hospital, Chicago, Illinois.

The Journal of Urology
|February 1, 1989
PubMed
Summary
This summary is machine-generated.

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A modified glanuloplasty, the glans approximation procedure (GAP), offers excellent cosmetic and functional outcomes for hypospadias repair. This technique avoids urinary diversion and shows no signs of meatal stenosis in follow-up studies.

Area of Science:

  • Pediatric Urology
  • Surgical Innovation
  • Genitourinary Reconstructive Surgery

Background:

  • Hypospadias repair presents challenges, particularly with glanular and coronal defects.
  • Existing techniques may require urinary diversion and have variable cosmetic and functional results.

Purpose of the Study:

  • To describe a modified glanuloplasty technique for selective hypospadias repair.
  • To evaluate the cosmetic and functional outcomes of the glans approximation procedure (GAP).

Main Methods:

  • A modified glanuloplasty, termed the glans approximation procedure (GAP), was developed.
  • The technique was applied to 24 children with glanular and coronal hypospadias over 20 months.
  • No urinary diversion was employed during the procedure.

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Main Results:

  • Excellent cosmetic and functional results were achieved in all patients.
  • Follow-up ranged from 3 months to 1.5 years.
  • No evidence of meatal or urethral stenosis was observed.
  • One distal glanular fistula occurred, successfully managed by dividing a small skin bridge.

Conclusions:

  • The modified glanuloplasty (GAP) is a safe and effective surgical option for specific hypospadias types.
  • The procedure yields superior cosmetic and functional outcomes without the need for urinary diversion.
  • Long-term follow-up indicates a low complication rate, with stenosis being notably absent.