Muhammad Talat Mehmood, Javed Ahmed, Muhammad Shahab Athar, Muhammad Sajjad Ashraf.
Modification of Mathieu procedure to repair anterior hypospadias.
J Coll Physicians Surg Pak Jan ;16(4):284-6.

Objective: To assess the results of one-stage repair of anterior hypospadias using modified Mathieu procedure. Design: An interventional study. Place and Duration of Study: Department of Paediatric Surgery, Dow Medical College and Civil Hospital Karachi, from September 1997 to December 2003. Patients and Methods: All the patients with anterior hypospadias without or with minimal chordee were included. Patients with hypoplastic urethra or re-do surgery were excluded. Modified Mathieu repair was performed in all cases. The modifications used were interrupted inverting sutures of 5/0 polyglycolic acid for urethroplasty; neourethra covering with subcutaneous (dartos) pedicle flap, developed from the preputial or penile shaft skin and dorsal / anterior meatotomy for meatal stenosis. Results: A total of 69 patients with anterior hypospadias were operated using modified Mathieu`s repair. Only two patients (2.89%) developed urethrocutaneous fistula. Five patients developed partial devitalisation of the covering skin while one patient had complete breakdown. Conclusion: Modified Mathieu`s procedure is an effective method, to repair the anterior hypospadias without or with minimal chordee.

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