Hypospadias: experience with Mathieu's repair

ABSTRACT

To determine the effectiveness of Mathieu's urethroplasty for anterior hypospadias. Design: Descriptive Study. Place and Duration Department of Paediatric Surgery, Chandka medical College Hospital, Larkana, from January 2003 to December 2003. Patients And A Total of 30 boys who presented with sub coronal and distal penile hypospadias without chordee were included in the study. The neourethra was constructed by utilizing the flap of skin proximal to the meatus. Urethral catheter was used as stent and for diversion of urine. The age at presentation ranged between 1 and 12 years with a mean of 4.86 years. Twenty Three [76.66%] patients presented with distal penile hypospadias while the meatus was subcoronal in 7[23%] patients. The only complication encountered was minute urethrocutanems fistula in 2[6.66%] cases. The cosmetic results were satisfactory. The well established Mathieu's urethroplasty provides excellent result in terms of having minimal complication rate and excellent cosmetic and functional result: