Abstract
Background: Hypospadias is one of the most common congenital abnormalities of the male genito-urinary system. The main goal in surgery is to attain cosmetic and functional correction. Hypospadias repair should be done with minimal complications. Duckett innovated meatal advancement and glanuloplasty (MAGPI) procedure and was applied for correction of this lesion. Objectives: Evaluation of Mercedes Benz incision as a modification of the MAGPI procedure for repair of distal hypospadias with mobile meatus. Paitents and Methods: Forty five children with distal hypospadias and mobile meatus were operated on using this technique. Mean age of patients was 2 ± 4.2 year (1-10) years. Results: Patients were discharged home after 3 days. The operation resulted in a slit-like urethral meatus. Follow-up was done for 6 months. Good cosmetic and functional results were obtained in 44 patients (97.78%). One patient (2.22%) had mild meatal stenosis that corrected by frequent dilation. Complication occurred in one patient (2.22%) who suffered from dehiscence of the wound and retraction of the meatus. The meatal retraction was corrected using circum-meatal urethral advancement technique. Conclusion: Mercedes Benz incision as a modification of the MAGPI procedure was feasible and suitable for appropriately selected cases with distal hypospadias and mobile meatus. It provides a cosmetically natural vertical slit-like urethral meatus at the tip of the glans.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
