THE MATHIEU RIGHINI TECHNIQUE FOR MID-DISTAL HYPOSPADIAS REPAIR

In a series of 1,989 operated cases of hypospadias, the technical deta ils, precise indications, and results in 408 consecutive cases of dist al and mid-penile hypospadias without chordee using the one-stage Math ieu-Righini procedure are described. This technique employs a meatal f lap in which the prepuce is preserved and reconstructed. Twelve fistul as occurred, the majority in the initial phase of the experience, and 2 cases of meatal stenosis were easily managed by dilations. The overa ll complication rate was 3.4%. This technique provides very good cosme tic and functional results; the penis is normal in appearance as well as function. In the author's opinion, the Mathieu-Righini technique is the procedure of choice for mid-distal hypospadias without chordee re pair.