GLANULOPLASTY AND IN SITU TUBULARIZATION OF THE URETHRAL PLATE: LONG-TERM FOLLOWUP

Abstract

Purpose: We update our experience with glanuloplasty and in situ tubularization of the urethral plate for hypospadias repair first described in 1995, and report its indications and long-term results.Materials and Methods: We evaluated the surgical results of glanuloplasty and in situ tubularization of the urethral plate for hypospadias repair in 308 patients.Results: Overall cosmetic results were excellent. The overall complication rate for both series was 9.7%, and complications consisted of a urethral fistula in 9.1% and a urethral diverticulum in 0.6%. However, in our recent series the complication rate decreased to 1.7% for distal repairs and 7.7% for mid shaft hypospadias repair.Conclusions: Glanuloplasty with in situ tubularization of the urethral plate is an excellent technique for the majority of boys with distal and mid shaft hypospadias, producing a pleasing cosmetic appearance with a low complication rate.