Inverted y on V meatourethroplasty for distal penile hypospadias: our experience in Queen Rania Al-Abdulla hospital for children

ABSTRACT

The aim of this study was to evaluate patients with Distal Penile Hypospadias who were treated by Inverted Y on V Meatourethroplasty regarding success rate, complications and cosmesis. This was a retrospective study, carried out at Queen Rania Al-Abdulla Hospital for Children from April 2010 to June 2012. Forty four patients with distal Penile Hypospadias without chordee underwent Inverted Y on V Meatourethroplasty. Age of the patients ranged from one and half year to eight years. Mean age was four and half years. Patients were followed up to 18 months post surgery. Thirty three patients [75%] had excellent results without any complications and excellent cosmetic result, while complications were seen in 11 patients, with retracted meatus in six cases [13.6%], fistula in four [9%], and complete disruption in one case [2.3%]. Inverted Y on V Meatourethroplasty can be used successfully for Distal Penile hypospadias repair with excellent cosmetic result, complications rate remains acceptable but we need further evaluation and more experience with this technique