| Sub-title | |
| Author | C Fearne |
| Abstract | Introduction: The classical aims of hypospadias surgery are 1. An appropriate urinary steam from the tip, 2. correction of chordee and 3. good cosmesis. To these one might add the preservation of sensation. Any procedure which limits scarring and disruption of the blood supply as well as saving the foreskin, would be contributing to this. Materials and Methods: The procedure chosen for each particular case of hypospadias repair depends very much on the specific anatomy available. As such a variety of operative techniques are available to the Paediatric Surgeon. The Mathieu repair is one such technique. However the loss of the foreskin and pericoronal scarring may lead to a loss of sensation. The Modified Mathieu Repair, which is presented here, preserves the general principles of the Mathieu technique whilst allowing preservation of the foreskin and reducing the extent of the dissection. A series of ten cases of hypospadias repair using the Modified Mathieu technique and performed over a two year period at St Lukes Hospital, are presented here. The selection criteria, operative technique and results after an average follow-up of 10 months are discussed. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | 15 Issue 1-2/suppl. 2003 |
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| Key words | surgery, technique, hypospadias |