1192 POST-PUBERTAL OUTCOME AFTER DISTAL HYPOSPADIAS REPAIR IN CHILDHOOD USING THE MEATAL MOBILIZATION (MEMO) TECHNIQUE

Abstract

You have accessJournal of UrologyPediatrics: Reconstructive Surgery1 Apr 20111192 POST-PUBERTAL OUTCOME AFTER DISTAL HYPOSPADIAS REPAIR IN CHILDHOOD USING THE MEATAL MOBILIZATION (MEMO) TECHNIQUE Joerg Seibold, Maren Werther, Saladin Alloussi, Karl-Dietrich Sievert, Arnulf Stenzl, and Christian Schwentner Joerg SeiboldJoerg Seibold Tuebingen, Germany More articles by this author , Maren WertherMaren Werther Tuebingen, Germany More articles by this author , Saladin AlloussiSaladin Alloussi Tuebingen, Germany More articles by this author , Karl-Dietrich SievertKarl-Dietrich Sievert Tuebingen, Germany More articles by this author , Arnulf StenzlArnulf Stenzl Tuebingen, Germany More articles by this author , and Christian SchwentnerChristian Schwentner Tuebingen, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.825AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Meatal mobilization (MEMO) after distal urethral preparation can be used for distal hypospadias repair with or without chordee. Initial data yielded promising cosmetic and functional results. However, nothing is yet known about the postpubertal outcome, patients' self perception and importantly sexual function. Herein, we present a cohort of patients who have reached adulthood after hypospadias repair in childhood focussing on the abovementioned items. METHODS 286 patients who underwent glandular, coronal or subcoronal hypospadias repair using the meatal mobilization (MEMO) technique were retrospectively identified. Of those 25 are older than 18 years. This cohort was invited by phone or mail and was specifically investigated using uroflow, residual urine measurement, sexual function (IIEF) and quality of life (QoL). Finally, the so-called HOSE-score (objective hypospadias symptom score) was applied. RESULTS All 25 patients were available for follow-up. No additional findings were documented in terms of cosmesis or fistula formation (0/25). All had a negative urine culture and no post-void residual. Uroflow-patterns were bell-shaped in all 25 men. Median HOSE-score was 15 (of maximum 16 points). All had a straight erection of the penis. IIEF-scores were normal in all men. CONCLUSIONS Using the MEMO technique for correction of distal hypospadias, complications are minimal while the cosmetic results remain excellent over time. In the long-term follow-up no additional fistula or meatal stenosis occurred. Sexual function and quality of life after puberty are comparable to healthy age matched individuals. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e478 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joerg Seibold Tuebingen, Germany More articles by this author Maren Werther Tuebingen, Germany More articles by this author Saladin Alloussi Tuebingen, Germany More articles by this author Karl-Dietrich Sievert Tuebingen, Germany More articles by this author Arnulf Stenzl Tuebingen, Germany More articles by this author Christian Schwentner Tuebingen, Germany More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...