[Urethroplasty technics. Apropos of 286 cases of hypospadia treated surgically. Indications, results and current therapeutic calendar].

From 1957 to 1985, 286 urethroplasties for hypospadias repair were performed. Anterior hypospadias (235 cases) have been corrected with good result in 88% of cases (94.3% since 1974). Glandular or coronal hypospadias have been repaired by MAGPI procedure (65 cases, 1 fistula, 1 meatal stricture), and distal penile hypospadias by Mathieu's urethroplasty (32 cases, 1 fistula), since 1981. For subcoronal hypospadias, MAGPI procedure has been attempted and deserted to Mathieu's technique (19 cases, 4 fistulas). Posterior hypospadias (51 cases) were performed by two- or more-stage procedure before 1982. Then, 25 cases have been corrected by Duckett's procedure and 1 case with bladder mucosa graft. Immediate good result was obtained in 10 patients and 4 more after meatostomy for meatal stricture. 10 patients developed fistulas. A lower rate of fistula has been obtained by Duckett's operation personal modification. Most of hypospadias (80%) have been corrected from 2 to 4 years old, since 1981.