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Distal urethroplasty and glanuloplasty procedure: results of 512 repairs
1Department of Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, USA.
Objectives:
We describe the distal urethroplasty and glanuloplasty (DUG) procedure, a modification of the Thiersch-Duplay method, and report indications, outcomes, and complications.
Methods:
In all, 512 children with glanular, coronal, or subcoronal hypospadias variants underwent the DUG procedure.
Results:
Follow-up demonstrated excellent functional performance and cosmetic appearance. Complications included 5 fistulae, 2 meatal stenoses, and 4 distal breakdowns of the distal neourethra. The incidence of complications requiring secondary procedures was 2.1% for the entire group.
Conclusions:
The DUG repair has allowed us to repair virtually all distal hypospadias variants using the Thiersch-Duplay method. The combined use of the Heineke-Mikulicz meatoplasty in patients with a stenotic meatus and the glanuloplasty as described by Zaontz has allowed the DUG repair to achieve excellent cosmetic and functional results.
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