MAGPI (meatoplasty and glanuloplasty): a procedure for subcoronal hypospadias.

The MAGPI operation for the distal meatus has been a satisfactory operation both functionally and cosmetically. The complication rate is minimal. We therefore believe it is warranted in such cases, particularly to produce the esthetic appearance of a normal penis. We have found it to be a difficult operation to teach others except by demonstration, since we have not been very very successful in producing diagrams or photographs which convey the details of the technique adequately. It is therefore recommended that before this procedure is attempted, one should observe its performance by a surgeon who has mastered the technique.