ABSTRACT
Objective: To review a new technique for correcting distal-to-mid penile hypospadias where we combined both Mathiue and Saodgnss techniques
Material and Methods: From May 2000 to May 2001,10 boys [mean age: 6 years] were treated for mid to-distal penile hypospadias at the pediatric surgery unit, Alexandria faculty of medicine using a new technique where we combined both Madame and Suodgmss techniques. After the two parallel incisions on both sides of the urethral plate were made, they were carried out proximally for an equal distance to that one from the urethral meatus to the glans tip. The urethral plate was incised as usual in Snodgrass and the prom! 1hr flap raised and sutured to the edges of the urethral plate as usual in Mathiue. The width of the proximal flap was a httle a 5 nun. A second layer from the prepuce subcutaneous tissue or from local tissue were laid over the tube which m dented until u 8 or 10 Fr soft tube for 5-7 days. The mean follow up was 6 months
Results : The 10 boys were stented; 2 for 5 days and 8 for 7 days.3 cases [30%] developed a urethro-cutaneous fistula. 4 cases [40%] were already circumcised and 6 [60%] were circumcised during the same procedure. 2 cases [20%] developed metal stenosis and one case [10%] had partial repair disruption
Conclusion: Combined Mathiue and Snodgrass repair for correction of Mid-to-distal penile hypospadias is a reliable method. It nuts cases where the urethral plate is narrow and at the same time allows the use of a smaller flip flap when the proximal skin conditions does not allow for the usual flap size
ABSTRACT
We describe a neonate with primary congenital hypothyroidism due to an ectopic thyroid gland associated with a positive perchlorate discharge test suggestive of a partial iodine organification defect. To our knowledge, such an association has not been described previously. The implication of such an association is discussed