EVALUATION OF MATHIEU'S REPAIR FOR PRIMARY DISTAL HYPOSPADIAS WITHOUT CHORDAE IN 45 CASES
DOI:
https://doi.org/10.52206/jsmc.2011.1.2.46-50Abstract
Objective:To evaluate the results of Mathieu's repair for distal hypospadias without chordae.
Study Design: Prospective analytical
Material and Methods: 45 patients with an age range from 2 to 26 years, with mean age 7.5 years were
included. Patients were divided into six groups G1-G6 according to their age. Urethroplasty with
Mathieu's method was carried out in all patients, using Vicryl 3/0 and 4/0 as suture material. Stents were
placed in all patients for 10-15 days.
Results: The overall success rate was 82.22 % (n=37) and major complication rate was 17.77 % (n=8).
The major complications were fistula formation, severe infection, skin necrosis and total disruption.
Minor complications were observed in 35.5% (n = 16).
Conclusion: The reason for poor results was high mean age in our study, which is much higher than
international data. Results can be improved by better selection of patients, improving sterilization,
operative and postoperative care.
Keywords: Distal Hypospadias, Mathieu's repair, Reverse flap urethroplasty.
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