| Abstract: |
The aim of surgery is to achieve a straight penis, with the meatus at the tip, uninterrupted urinary flow, good cosmesis, and self-confidence of the child. Technically all flaps have a better blood supply than the grafts. The results are better with flap urethroplasties than grafts. In this study we evaluate four techniques for correction of distal hypospadias repair which are MAGPI procedure, Mathieu repair, preputial flap repair and TIP repair. MAGPI procedure is suitable for most distal cases with successful results and low complications rate. Mathieu repair first described by Mathieu in 1932, since then, due to the successful results achieved, the technique has been popularized. TPIF repair was the most commonly utilized technique has been used even in severe cases of hypospadias. TIP urethroplasty first described by warren Snodgrass in 1994 following that report, clinical experience from many institutions has shown that the technique is applicable to essentially all cases of distal hypospadias, without concern for the specific meatal configurations The aim of surgery is to achieve a straight penis, with the meatus at the tip, uninterrupted urinary flow, good cosmesis, and self-confidence of the child. Technically all flaps have a better blood supply than the grafts. The results are better with flap urethroplasties than grafts. In this study we evaluate four techniques for correction of distal hypospadias repair which are MAGPI procedure, Mathieurepair, preputial flap repair and TIP repair.
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