Journal: Sohg medical journal, accepted 18 December 2017

Title:

 Meatal advancement glanular rotation technique; results of 40 patients

Hazem Elmoghazy, Mohamed saber, Ahmed mamdouh abd elhamed, el nisr rashed, ahmed M riayd

 

Abstract

Purpose: We describe our technique (Meatal Advancement Glandular Rotation Technique) to allow using MAGPI technique in DPH with good cosmetic and functional results.

Materials and Methods: there is still controversy about using MAGPI technique in repair of DPH. Our modification is to rotate well developed glanular wings around neo-urethra with excision of all the elevations developed after meatal advancement and then suturing the excised edges to the inner mucosa of the meatus (everting the mucosa); which resulted in a conically smooth shape of the glans penis, rounded wide vertical meatus with everted edges.

Results:

Between June 2007 and January 2016, 40 patients were selected to undergo our modified technique. The mean age for children was 4.1 ± 1.2 years, and the mean follow-up after surgery was 25.8 ± 7.9 months. The distance between meatus and the tip of the gland ranged from 1.5 to 2.5 cm Surgery was successful in 32 (80 %) cases. The repair failed in these patients during the first month after surgery. Minor complications occurred in 4 patients (10 %) and included penile edema dispersed urinary stream. all minor complications subsided spontaneously within the 1st month.

There were no cases presented with fistulae or meatal stenosis in the long term follow up (up to 2-3 years).

Conclusions: Our modification of MAGPI technique has excellent functional and cosmetic outcome provided that the urethra is mobile with no curvatures.