Prevention of meatal stenosis with W-flap glanuloplasty in hypospadias surgery: A long-term follow-up

Meatal stenosis is a complication that can occur after hypospadias surgery. Although there are many different surgical techniques that can solve this problem, once it has occurred, meatal stenosis can be difficult to treat. T o decrease meatal stenosis risk and to achieve an anatomically placed, aest hetically pleasing meatal opening, a new W flap was designed for glanulopla sty. The authors describe the technique in detail along with long-term resu lts. A total of 356 hypospadias cases were operated using various urethropl asty methods. Independent from the preferred urethroplasty method, the W-fl ap was used for glanuloplasty in all patients. Patients were followed for 1 to 10 years. Meatal stenosis incidence was 0.8%, and good cosmetic results with a natural-looking, anatomically placed meatus and a well-directed uri nary stream during urination were achieved. W-Rap glanuloplasty, an additio n to reconstructive surgeons' armamentarium, is applicable to most patients . It places the meatus in its appropriate anatomic location. increases the meatal diameter by insetting two flaps, avoids a circular anastomosis, redu ces the risk of late contraction, helps to achieve good aesthetic results w ith good urinary stream, eliminates the need for stents, and reduces meatal stenosis risk overall. It is a good glanuloplasty alternative that can be applied with most hypospadias repair techniques.