Modified Duplay technique in the treatment of anterior hypospadias. Immediate and long-term results in 321 cases and review of the literature

Objectives : Description of a surgical technique in the treatment of anteri or hypospadias, a frequent malformation for which the treatment is not devo id of complications, Evaluation of the short-term as well as the long-term results. Material and Methods : Retrospective study of 321 patients treated accordin g to this method. 58 patients were reviewed)with a mean follow-up of 71 mon ths. Results : The immediate results were marked bq the development of 16 fistul as (5%), 4 of which closed spontaneously. Five cases (1.6%) of meatal retra ction and 6 meatal stenoses (1.9%) were observed. The overall complication rate requiring specific treatment was 5.6%. The long-term results showed meatal retraction in 20.7% of cases, mental st enosis in 1.7% of cases and fistula in 3.5% of cases. This is the series wi th the longest mean follow-up. Comparison with the currently proposed techniques suggests that this techni que is indicated in the treatment of anterior hypospadias. Long-term analys is of the results strongly encourages regular and prolonged follow-up of ch ildren treated for hypospadias in the first 2 years. Conclusion : The modified Duplay technique is reliable, can be easily perfo rmed, and gives perfectly satisfactory results, even in the long-term, for the treatment of anterior hypospadias.