Anterior hypospadias: Duplay or Mathieu?

Objective: The Mathieu urethroplasty is considered to be the reference oper ation for the treatment of anterior hypospadias. The vertical incision of t he urethral groove, described by Snodgrass, has extended the field of indic ations for urethroplasty by tubularisation of the urethral plate (Duplay pr inciple), by allowing it to be applied in almost every case of anterior hyp ospadias, The objective of this study was to compare results of Mathieu ure throplasty and Duplay urethroplasty for the treatment of anterior hypospadi as. Materials and Methods: 50 Mathieu urethroplasties and 50 Duplay urethroplas ties were performed by the same operator over the same period (1996 to 1999 ). All urethral sutures were performed by inverted running sutures. Urine d rainage was ensured by Foley catheter for 48 hours. For Duplay operations, the urethral plate was incised longitudinally in 17 out of 50 cases. Foresk in reconstruction was performed 41 out of 100 cases.