Inframeatal Vascularized Flap for Surgical Correction of Megameatus Intact Prepuce Variant of Hypospadias
Alshareef, N., khalil, S., Swilam, M., Sakr, A. (2023). Inframeatal Vascularized Flap for Surgical Correction of Megameatus Intact Prepuce Variant of Hypospadias. EKB Journal Management System, 29(1.1), 129-133. doi: 10.21608/zumj.2020.16834.1516
Naef Faraj Alshareef; salem ahmed khalil; Mohamed Abdalla Swilam; Ahmed Sakr. "Inframeatal Vascularized Flap for Surgical Correction of Megameatus Intact Prepuce Variant of Hypospadias". EKB Journal Management System, 29, 1.1, 2023, 129-133. doi: 10.21608/zumj.2020.16834.1516
Alshareef, N., khalil, S., Swilam, M., Sakr, A. (2023). 'Inframeatal Vascularized Flap for Surgical Correction of Megameatus Intact Prepuce Variant of Hypospadias', EKB Journal Management System, 29(1.1), pp. 129-133. doi: 10.21608/zumj.2020.16834.1516
Alshareef, N., khalil, S., Swilam, M., Sakr, A. Inframeatal Vascularized Flap for Surgical Correction of Megameatus Intact Prepuce Variant of Hypospadias. EKB Journal Management System, 2023; 29(1.1): 129-133. doi: 10.21608/zumj.2020.16834.1516

Inframeatal Vascularized Flap for Surgical Correction of Megameatus Intact Prepuce Variant of Hypospadias

Zagazig University Medical Journal
Article 19, Volume 29, Issue 1.1, January 2023, Page 129-133  XML PDF (265.75 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.16834.1516
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Authors
Naef Faraj Alshareef email 1; salem ahmed khalil2; Mohamed Abdalla Swilam3; Ahmed Sakr4
1Urology visitor , Benghazi University, Libya.
2faculty of medicine , department of urology , zagazig university
3urology and andrology department zagazig university
4Zagazig University
Abstract
Background: The megameatus intact prepuce (MIP) variant of hypospadias is a rare variant of hypospadias that is diagnosed either early at the time of circumcision or later as the foreskin is retracted. The true incidence of the anomaly is difficult to determine precisely as some patient never come to medical attention but is felt to under 5% of all cases of hypospadias. Objectives: To assess the outcome of Inframeatal vascularized flap in surgical correction of MIP regarding as Functional outcome (Adequate forward stream). , Cosmetic. , Complication. Methods: This prospective study included 12 patients with Megameatus Intact Prepuce Variant of Hypospadias presented to Zagazig university hospitals scheduled for surgical repair by Mathieu Technique. Result: Two patients with early complication; one patient complicated with infection and edema other patient’s complicated infection only. Two patients with late complications: there were 2 cases fistula treated surgically by fistula closure after 6 months and there was no dehiscence and no meatal stenosis. According to our definition of success: Success rate 10/12 = 83.3%. Conclusion: Inframeatal vascularized flap urethroplasty may offer better outcome regarding urinary function and cosmesis with low complication rate, however larger number of cases with longer follow up period are needed for better evaluation of such technique.
Keywords
Inframeatal Vascularized Flap; Surgical Correction; Megameatus Intact Prepuce Variant of Hypospadias
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