Long-term results of distal urethral advancement glanuloplasty for distal hypospadias

P. Caione, N. Capozza, A. Lais, F. Ferro, E. Matarazzo, S. Nappo, J. W. Duckett

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: In 1987 we developed distal urethral advancement and glanuloplasty, a surgical technique specifically intended for coronal and subcoronal hypospadias repair that involves moving the distal urethra 0.5 to 1 cm., Y shaped meatoplasty and glanuloplasty. Materials and Methods: From January 1987 to December 1992, 271 boys 9 months to 14 years old (mean age 2.5 years) underwent repair of distal coronal and subcoronal hypospadias, including distal urethral advancement and glanuloplasty in 135 (49.8%). Results: Long-term results in 118 cases were determined at 4 to 9 years of followup (mean 6.3). In 112 cases (95%) good functional and cosmetic results were achieved, while in 6 (5%) complications required surgical repair, including meatal stenosis in 3 (2.5%), fistulas in 2 (1.7%) and complete glanuloplasty disruption in 1. We evaluated outcomes in 19 postpubertal patients 15 to 20 years old and noted no psychological or sexual problems as a consequence of hypospadias repair. Conclusions: Long-term followup confirms the validity of distal urethral advancement and glanuloplasty for correcting a large number of coronal and subcoronal hypospadias cases.

Original languageEnglish
Pages (from-to)1168-1171
Number of pages4
JournalJournal of Urology
Volume158
Issue number3 SUPPL.
DOIs
Publication statusPublished - 1997

Keywords

  • Hypospadias
  • Penis
  • Urethra

ASJC Scopus subject areas

  • Urology

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