[How I perform the Mathieu technic in the treatment of anterior penile hypospadias]

The Mathieu operation, used for distal penile hypospadias repair, gives excellent, not only functional, but also cosmetic results. Some modifications have still bettered these results and reduced post-operative restraints: use of very fine (PDS 6 X 0) resorb suture-thread, reconstruction of prepuce, only 48-hours cathetering. The child is operated after 2 years of age. This technique gives unrivalled cosmetic results by restoring in most cases a normal appearing penis. In hypospadias operated for first time, the fistula rate is about 10 per cent. These fistulas are repaired later with a new 24-hours hospital stay.