Abstract:

Introduction: Hypospadias has been reported to occur in 1 of 200 to 1 of 300 live births . Distal hypospadias constitutes approximately 65- 70% of all hypospadias cases , The MAGPI operation popularized by Duckett gained wide acceptance because of simplicity , The main drawbacks were meatal retraction and stenosis . In the current study we have used urethral mobilization for repair of distal hypospadias with meatal variants.

Patients and Methods: Our study was a prospective clinical study, was performed at Nephrology and Urology Hospital, Minia University. We included patients with glanular, coronal, and sub coronal hypospadias who are not ideal for MAGPI repair in the period from June 2021 to January 2023 . We excluded cases with Distal, mid-penile and proximal types of hypospadias, patients with chordee , recurrent cases

Results: A total of 22 patients underwent urethral mobilization technique .Age ranges from 8 months to 5 years. The mean distance between the tip of the glans and proximal end of hypospadiac meatus was 0.8 cm .Overall major complications occurred in 2/22 (9.1%) Postoperative follow-up parameters and complications are shown as follow; No fistula, Meatal stenosis, urethral stricture or persistent curvature occurred.

Conclusion: Urethral mobilization technique is a good technique, easy to learn with low overall complication rate. It can be applied safely in patients with distal hypospadias who had meatal variants not candidates for MAGPI operation