Muhammad Ayub Khan, Kifayat Khan, Samira Ajmal, Muhammad Yunas Khan, Tariq Waheed, Niaz Muhammad.
Comparison of Magpi and Mathieu repair in distal Hypospadias.
J Postgrad Med Inst Jan ;18(3):402-7.

To compare the outcome of MAGPI and Mathieu Procedures in the treatment of distal penile hypospadias in children. Material and Methods: This prospective comparative study was conducted in the Department of Paediatric surgery Lady Reading Hospital, Peshawar from Jan 2002 to Dec 2002. A total of 40 children with distal hypospadias without chordae were selected. They were divided into two groups. Group one consisted of 20 children with glandular, coronal and subcoronal hypospadias without a groove in the glans penis. For this group MAGPI procedure was performed. Group two consisted of 20 children with coronal and subcoronal hypospadias with a groove in the glans penis. This group was managed with Mathieu procedure. Results: of the two procedures were compared. Age of these boys ranged from one to 10 years. 32 children had coronal and subcoronal hypospadias while 8 had glandular hypospadias. Results: Functional and cosmetic Results: were good in Mathieu procedure but the fistula rate was more as compared to MAGPI procedure. Meatal stenosis was more commonly observed in MAGPI procedure. Observed P valve of 0.02 between two procedure is significant statistically. Conclusion: The MAGPI procedure was found to have better Results: as the fistula rate was significantly less in spite of the frequent meatal stenosis

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