Glanuloplasty and in situ tubularization of the urethral plate: a simple reliable technique for the majority of boys with hypospadias.

PURPOSE: We describe glanuloplasty and in situ tubularization of the urethral plate, and report indications, results and complications.

MATERIALS AND

METHODS

We evaluated our surgical results using glanuloplasty and in situ tubularization of the urethral plate in 166 boys 5 months to 13.5 years old (mean age 20 months).

RESULTS

Overall cosmetic results were excellent. No evidence of meatal stenosis, urethral stricture, residual chordee or ballooning of the neourethra was noted at followup. A small urethrocutaneous fistula that formed in 10% of the patients was successfully closed in a brief outpatient procedure.

CONCLUSIONS

Glanuloplasty and in situ tubularization of the urethral plate is an excellent technique for the majority of boys with distal shaft and subcoronal hypospadias, producing a superior cosmetic result compared to the Mathieu procedure or meatal advancement and glanuloplasty.