LONG-TERM RESULTS OF DISTAL URETHRAL ADVANCEMENT GLANULOPLASTY FOR DISTAL HYPOSPADIAS

Purpose: In 1987 we developed distal urethral advancement and glanulop lasty, a surgical technique specifically intended for coronal and subc oronal hypospadias repair that involves moving the distal urethra 0.5 to 1 cm., Y shaped meatoplasty and glanuloplasty. Materials and Method s: From January 1987 to December 1992, 271 boys 9 months to 14 years o ld (mean age 2.5 years) underwent repair of distal coronal and subcoro nal hypospadias, including distal urethral advancement and glanuloplas ty in 135 (49.8%). Results: Long-term results in 118 cases were determ ined at 4 to 9 years of followup (mean 6.3). In 112 cases (95%) good f unctional and cosmetic results were achieved, while in 6 (5%) complica tions required surgical repair, including meatal stenosis in 3 (2.5%), fistulas in 2 (1.7%) and complete glanuloplasty disruption in 1. We e valuated outcomes in 19 postpubertal patients 15 to 20 years old and n oted no psychological or sexual problems as a consequence of hypospadi as repair. Conclusions: Long-term followup confirms the validity of di stal urethral advancement and glanuloplasty for correcting a large num ber of coronal and subcoronal hypospadias cases.