Glanuloplasty and in situ tubularization of the urethral plate: long-term followup.

PURPOSE: We update our experience with glanuloplasty and in situ tubularization of the urethral plate for hypospadias repair first described in 1995, and report its indications and long-term results.

MATERIALS AND

METHODS

We evaluated the surgical results of glanuloplasty and in situ tubularization of the urethral plate for hypospadias repair in 308 patients.

RESULTS

Overall cosmetic results were excellent. The overall complication rate for both series was 9.7%, and complications consisted of a urethral fistula in 9.1% and a urethral diverticulum in 0.6%. However, in our recent series the complication rate decreased to 1.7% for distal repairs and 7.7% for mid shaft hypospadias repair.

CONCLUSIONS

Glanuloplasty with in situ tubularization of the urethral plate is an excellent technique for the majority of boys with distal and mid shaft hypospadias, producing a pleasing cosmetic appearance with a low complication rate.