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Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
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Y-V meatoplasty: a simple novel technique to correct meatal stenosis
Michael Sennert1,2, Mohammed Fawzy2, Johannes Wirmer2
1Pediatric Surgery Department, University Medical Center, University of Hamburg, Hamburg-Eppendorf, Hamburg, 20251, Germany.
The Journal of Sexual Medicine
|September 19, 2025
Summary
Y-V meatoplasty is a novel surgical technique that effectively treats meatal stenosis after hypospadias repair. This simple procedure offers a low complication rate, providing relief for most patients with this common postoperative issue.
Area of Science:
- Urology
- Pediatric Surgery
- Surgical Techniques
Background:
- Meatal stenosis is a frequent complication following hypospadias repair.
- Traditional treatments like dilatation or meatotomy often prove ineffective and can lead to symptom recurrence.
Purpose of the Study:
- To evaluate the efficacy of Y-V meatoplasty, a novel surgical technique.
- To assess the long-term outcomes of Y-V meatoplasty for postoperative meatal stenosis.
Main Methods:
- The Y-V meatoplasty technique involves elevating an inverted V-shaped skin flap at the meatus.
- A wedge of the stenotic meatus is excised, and the flap is advanced distally to create a wider meatus, preventing further contraction.
- The technique was applied to 57 patients with symptomatic meatal stenosis, with follow-up up to 8 years.
Main Results:
- The Y-V technique successfully relieved obstructive symptoms in 55 out of 57 patients.
- 52 patients experienced complete recovery without further issues; 3 had transient mild dysuria.
- A low complication rate of 3.5% was observed, with only 2 patients requiring revision surgery.
Conclusions:
- Y-V meatoplasty is a simple and effective surgical option for correcting ring meatal stenosis post-hypospadias repair.
- The technique demonstrates a low complication rate and favorable long-term outcomes.
