MAGPI procedure in meatal regression after hypospadias repair

Objective: To evaluate the efficacy of MAGPI's procedure in children who ha d a meatal regression after hypospadias repair. Patients and Methods: Twent y-one children affected by post-hypospadias repair meatal regression underw ent a modified MAGPI repair between January 1992 and January 1999: the pati ents, aged between 3 and 12 years (mean 5.9), had previously undergone hypo spadias repair according to the techniques of Duplay (11 patients), Mathieu (2 patients), Snodgrass (5 patients) or the onlay buccal mucosa graft (3 p atients). The outcome of the procedure was evaluated in terms of urinary st ream and cosmetic appearance. Results: The results were good in 18 patients , fair in 2, unchanged in 1. Conclusions: MAGPI's repair has proven to be v ery effective as a secondary procedure in meatal regression after hypospadi as correction, with minimal morbidity and a highly successful outcome in te rms of satisfactory functionality and cosmetic appearance, and the recovery of gaps as large as 9 mm.