GLANULOPLASTY AND IN-SITU TUBULARIZATION OF THE URETHRAL PLATE - A SIMPLE RELIABLE TECHNIQUE FOR THE MAJORITY OF BOYS WITH HYPOSPADIAS

Purpose: We describe glanuloplasty and in situ tubularization of the u rethral plate, and report indications, results and complications. Mate rials and Methods: We evaluated our surgical results using glanuloplas ty and in situ tubularization of the urethral plate in 166 boys 5 mont hs to 13.5 years old (mean age 20 months). Results: Overall cosmetic r esults were excellent. No evidence of meatal stenosis, urethral strict ure, residual chordee or ballooning of the neourethra was noted at fol lowup. A small urethrocutaneous fistula that formed in 10% of the pati ents was successfully closed in a brief outpatient procedure. Conclusi ons: Glanuloplasty and in situ tubularization of the urethral plate is an excellent technique for the majority of boys with distal shaft and subcoronal hypospadias, producing a superior cosmetic result compared to the Mathieu procedure or meatal advancement and glanuloplasty.