Procedures to Improve the Appearance of the Meatus and Glans

  • Ahmed T. Hadidi
  • Mahmoud Zaher

Abstract

The ultimate goal of hypospadias repair is to have a near-normal looking penis, functionally and cosmetically. Until 30 years ago, normal appearance of the meatus and the glans was considered a luxury or a secondary issue. Many surgeons were reluctant to operate on patients with distal glanular hypospadias as most of those boys were able to function normally. With modern sophisticated technology, however, most surgeons are now only satisfied when they achieve a near-normal appearing penis for the majority of their patients.

Keywords

Catheter Pyramid Egypt Hypospadias Arap 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Arap S, Mitre AI, DeGores GM: Modified meatal advancement and glanduloplasty repair of distal hypospadias. J Urol. 1984; 131:1140.PubMedGoogle Scholar
  2. Barcat J: Current concepts of treatment. In: Horton CE (ed): Plastic and reconstructive surgery of the genital area. Little Brown, Boston, pp 249–263; 1973.Google Scholar
  3. Beck C: Hypospadias and its treatment. Surg Gynecol Obstet. 1917; 24:511.Google Scholar
  4. Bevan AD: A new operation for hypospadias. JAMA. 1917; 68:1032.CrossRefGoogle Scholar
  5. Boddy SA, Samuel M: A natural glanular meatus after “Mathieu and V incision sutured” MAVIS. BJU Int. 2000; 86:394–397.PubMedCrossRefGoogle Scholar
  6. Bracka A: A versatile two-stage hypospadias repair. Br J Plast Surg. 1995a; 48:345–352.PubMedCrossRefGoogle Scholar
  7. Bracka A: Hypospadias repair: the two-stage alternative. Br J Urol. 1995b; 76 [Suppl 3]:31–41.PubMedGoogle Scholar
  8. Cronin TD, Guthrie TH: Method of Cronin and Guthrie of hypospadias repair. In: Horton CE (ed): Plastic and reconstructive surgery of the genital area. Little Brown, Boston, pp 302–314; 1973.Google Scholar
  9. Davis DM: The pedicle tube graft in the surgical treatment of hypospadias in the male. Surg Gynecol Obstet. 1940; 71:790.Google Scholar
  10. Decter RM: M inverted V glansplasty: a procedure for distal hypospadias. J Urol. 1991; 146:641.PubMedGoogle Scholar
  11. Devine CJ Jr, Horton CE: A one-stage hypospadias repair. J Urol. 1961; 85:166.PubMedGoogle Scholar
  12. Dieffenbach JF: The simple canalization method. In: Dictionnaire encyclopedique de medecine. Biblioteque Nationale de Paris, France; 1838.Google Scholar
  13. Duckett JW: Transverse preputial island-flap technique for repair of severe hypospadias. Urol Clin North Am 1980a; 7:423.PubMedGoogle Scholar
  14. Duckett JW: MAGPI (meatal advancement and glanuloplasty): a procedure for subcoronal hypospadias. Urol Clin North Am. 1981b; 8:513.PubMedGoogle Scholar
  15. Duplay S: Sur le traitement chirurgical de Thypospadias et de Pepispadias. Arch Gen Med. 1880; 145:527.Google Scholar
  16. Elder JS, Duckett JW, Snyder HM: Onlay island flap in the repair of mid-and distal penile hypospadias without chordee. J Urol. 1987; 138:376.PubMedGoogle Scholar
  17. Hadidi AT: Y-V Glanuloplasty: a new modification in the surgery of hypospadias. Kasr El Aini Med J. 1996; 2:223–233.Google Scholar
  18. Hadidi AT: Lateral based flap with dual blood supply: a single stage repair for proximal hypospadias. Egypt J Plast Reconstr Surg. 2003; 27 (3).Google Scholar
  19. Hastie KJ, Deshpande SS, Moisey CU: Long-term follow-up of the MAGPI operation for distal hypospadias. Br J Urol. 1989; 63:320–322.PubMedCrossRefGoogle Scholar
  20. Hendren WH: The Belt-Fuqua for repair of hypospadias. Urol Clin North Am. 1981; 8:431.PubMedGoogle Scholar
  21. Humby G: A one stage operation for hypospadias. Br J Surg. 1941; 29:84.CrossRefGoogle Scholar
  22. Mathieu P: Traitment en un temps de l’hypospadias balanique et juxta-balanique. J Chir (Paris). 1932; 39:481.Google Scholar
  23. Mustarde JC: One-stage correction of distal hypospadias and other people’s fistulae. Br J Plast Surg. 1965; 18:413–422.PubMedCrossRefGoogle Scholar
  24. Rich MA, Keating MA, Snyder HM, et al: “Hinging” the urethral plate in hypospadias meatoplasty. J Urol. 1989; 142:1551.PubMedGoogle Scholar
  25. Ricketson G: A method of repair of hypospadias. Am J Surg. 1958; 95:279.PubMedCrossRefGoogle Scholar
  26. Russell RH: Operation for severe hypospadias. Br Med J. 1900; 2:1432.PubMedCrossRefGoogle Scholar
  27. Snodgrass W: Tubularized incised plate urethroplasty for distal hypospadias. J Urol. 1994; 151:464–465.PubMedGoogle Scholar
  28. Thiersch C: Ueber die Entstehungsweise und operative Behandlung der Epispadie. Arch Heilkd. 1869; 10:20.Google Scholar
  29. Turner-Warwick R: Observations upon techniques for reconstruction of the urethral meatus, the hypospadiac glans deformity and the penile urethra. Urol Clin North Am. 1979; 6:643.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • Ahmed T. Hadidi
  • Mahmoud Zaher

There are no affiliations available

Personalised recommendations