Preputial glanuloplasty for an apical meatus in second-stage hypospadias repair

ABSTRACT

This work aimed to study the possibility of achieving a truly apical meatus by minor technical modification of the second-stage Denis-Browne hypospadias repair. It included 76 hypospadias aged 7 months to 25 years, with an average age of 6.3 years, who already had a penile curvature correction procedure done. They were then operated upon by a preputial glanuloplasty, the author's modification of the second-stage Denis-Browne hypospadias repair, mobilizing and suturing the lateral skin flaps to the very tip, of the glans. A truly apical meatus was achieved in 43 patients [56.6%] and overall fair to excellent results were obtained in 95% of cases. Failure, necessitating re-do surgery for the distal part of the neo-urethra, occurred in only 4 patients. Preputial glanuloplasty adds only a few minutes to the total operating time. It does not cause additional complications and achieves satisfactory anatomical and functional results. It is to be recommended when a Denis-Browne procedure is to be performed