Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce

Frontiers in Pediatrics

article

Shou Xing Duan¹  Jianhong Li²  Xuewu Jiang³  Xuan Zhang³  Wenhui Ou²  Maxian Fu²  Kaihong Chen²  Lian Zheng¹  Shu Hua Ma⁴ 

[1] Department of Pediatric Surgery, The First Affiliated Hospital of Shantou University Medical College;Department of Pediatric Surgery, The Second Affiliated Hospital of Shantou University Medical College;Department of Pediatric Surgery, Shenzhen Pingshan District Woman's and Children's Hospital, Southern Medical University;Department of Radiology, The First Affiliated Hospital of Shantou University Medical College

关键词: hypospadias;    megameatus;    intact prepuce;    urethral plate;    PPPS;   

DOI  :  10.3389/fped.2020.00128

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Purpose: To evaluate the diagnosis and treatment methods of hypospadias with megameatus intact prepuce (MIP). Materials and Methods: A retrospective analysis was performed in 27 MIP children, 13 of whom underwent tubularized incised plate urethroplasty (TIP procedure), 7 underwent the Duplay procedure, 5 underwent the Mathieu procedure, 1 underwent meatal advancement and glanuloplasty (MAGPI procedure), and 1 underwent the glans approximation procedure (GAP). The patients were followed for 6–36 months to evaluate the surgical outcomes by the Pediatric Penile Perception Score (PPPS). Results: A total of 27 patients with a mean age of 8.12 ± 3.0 years were enrolled in this study, and 25 cases (25/27, 92.6%) were accidentally discovered during the first visit for phimosis. The patients had a formed urethra of 0.5 to 1.5 cm. Complications occurred in 4 of the 27 patients (14.81%): 2 patients with urethral fistula and 2 patients with meatal stenosis. One patient had a case of self-healed urethral fistula, and the remaining 3 patients underwent reoperation. The post-operative effect was satisfactory in all patients, and the urinary flow and stream during urination were normal. The overall average PPPS score of non-operative surgeons and parents was satisfactory. There were no significant differences in meatus appearance, glans appearance, skin appearance, and general appearance PPPS score among the Mathieu, TIP, and Duplay surgical procedures. Conclusions: MIP clinical manifestations are concealed and usually noted when circumcision is attempted. The suitable procedure for each patient should be tailored according to the anatomic features, and several techniques can be used with good functional and cosmetic results.

【 授权许可】

CC BY