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[Modified Mathieu technic for hypospadias with moderate chordae]

P Hoebeke1, T M Boemers, T P De Jong

  • 1University of Gent, Dpt of Urology, Belgium.

Annales D'Urologie
|January 1, 1996
PubMed
Summary

This study presents a modified Mathieu technique for hypospadias repair in children with moderate chordee. The technique involves a dartos fascia flap and chordee correction, successfully treating defects up to 2.5 cm.

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Area of Science:

  • Urology
  • Pediatric Surgery
  • Reconstructive Surgery

Context:

  • Hypospadias is a congenital condition requiring surgical correction.
  • Chordee, a ventral curvature of the penis, often accompanies hypospadias.
  • Existing surgical techniques may have limitations for moderate chordee and specific defect sizes.

Purpose:

  • To present a modified Mathieu technique for hypospadias repair.
  • To address moderate penile chordee using specific surgical modifications.
  • To evaluate the efficacy and complications of this modified approach.

Summary:

  • A modified Mathieu technique is described, featuring a dartos fascia skin flap and chordee correction via fibrous tissue resection and dorsal tunica albuginea plication.
  • This method allows for the correction of hypospadias defects up to 2.5 cm.

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  • Seventy-six children underwent this procedure, with 20 cases followed for over 24 months.

    • Impact:

    • The modified technique offers a viable option for hypospadias with moderate chordee.
    • Observed complications in the follow-up group included one fistula, two meatal strictures, and one skin flap loss due to infection.
    • Further evaluation is needed to fully establish long-term outcomes and refine the technique.