Mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study

Objective: To compare outcomes of the Mathieu incised-plate (Mathieu-IP) technique vs the standard tubularised incised-plate (TIP) technique for primary management of distal hypospadias. Patients and methods: Between April 2012 and August 2015, 66 patients (aged 15–60 months) with primary distal hyp...

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Autores principales:	Mostafa Khalil, Tarek Gharib, Waleed El-shaer, Ahmed Sebaey, Basheer Elmohamady, Khalid Elgamal
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Mathieu Tubularised Incised-plate distal Hypospadias Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/66ad2d0935ec456bb6eaec4328c9d32e
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spelling	oai:doaj.org-article:66ad2d0935ec456bb6eaec4328c9d32e2021-12-02T10:23:50ZMathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study2090-598X10.1016/j.aju.2017.03.007https://doaj.org/article/66ad2d0935ec456bb6eaec4328c9d32e2017-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300438https://doaj.org/toc/2090-598XObjective: To compare outcomes of the Mathieu incised-plate (Mathieu-IP) technique vs the standard tubularised incised-plate (TIP) technique for primary management of distal hypospadias. Patients and methods: Between April 2012 and August 2015, 66 patients (aged 15–60 months) with primary distal hypospadias were randomly allocated to two groups. Group 1 included 34 patients who underwent Mathieu-IP repair and Group 2 included 32 patients managed using the TIP technique for primary management of distal hypospadias. Postoperatively, all patients were examined weekly up to 1 month and then at 3 and 6 months. Perioperative data, complications and outcomes of both procedures were statistically analysed and compared. Results: There were no statistically significant differences in patient demographics between the groups at baseline. There was no statistically significant difference in the mean (SD) operative time between Groups 1 and 2, at 95 (7.6) and 91.2 (8.1) min, respectively. There was no statistically significant difference in the shape of the urine stream at micturition or the neomeatus between the groups postoperatively. The rate of postoperative fistula was significantly higher in Group 2 (TIP) compared to Group 1 (Mathieu-IP), at 18.7% vs 2.9% (P = 0.004). There was no postoperative meatal stenosis in Group 1, which did occur in five patients (15.6%) in Group 2 (P = 0.002). Conclusion: The Mathieu-IP technique appeared to be better than the standard TIP technique with regard to postoperative fistula formation and meatal stenosis, and with acceptable cosmesis.Mostafa KhalilTarek GharibWaleed El-shaerAhmed SebaeyBasheer ElmohamadyKhalid ElgamalTaylor & Francis GrouparticleMathieuTubularisedIncised-plate distalHypospadiasDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 3, Pp 242-247 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mathieu Tubularised Incised-plate distal Hypospadias Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Mathieu Tubularised Incised-plate distal Hypospadias Diseases of the genitourinary system. Urology RC870-923 Mostafa Khalil Tarek Gharib Waleed El-shaer Ahmed Sebaey Basheer Elmohamady Khalid Elgamal Mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study
description	Objective: To compare outcomes of the Mathieu incised-plate (Mathieu-IP) technique vs the standard tubularised incised-plate (TIP) technique for primary management of distal hypospadias. Patients and methods: Between April 2012 and August 2015, 66 patients (aged 15–60 months) with primary distal hypospadias were randomly allocated to two groups. Group 1 included 34 patients who underwent Mathieu-IP repair and Group 2 included 32 patients managed using the TIP technique for primary management of distal hypospadias. Postoperatively, all patients were examined weekly up to 1 month and then at 3 and 6 months. Perioperative data, complications and outcomes of both procedures were statistically analysed and compared. Results: There were no statistically significant differences in patient demographics between the groups at baseline. There was no statistically significant difference in the mean (SD) operative time between Groups 1 and 2, at 95 (7.6) and 91.2 (8.1) min, respectively. There was no statistically significant difference in the shape of the urine stream at micturition or the neomeatus between the groups postoperatively. The rate of postoperative fistula was significantly higher in Group 2 (TIP) compared to Group 1 (Mathieu-IP), at 18.7% vs 2.9% (P = 0.004). There was no postoperative meatal stenosis in Group 1, which did occur in five patients (15.6%) in Group 2 (P = 0.002). Conclusion: The Mathieu-IP technique appeared to be better than the standard TIP technique with regard to postoperative fistula formation and meatal stenosis, and with acceptable cosmesis.
format	article
author	Mostafa Khalil Tarek Gharib Waleed El-shaer Ahmed Sebaey Basheer Elmohamady Khalid Elgamal
author_facet	Mostafa Khalil Tarek Gharib Waleed El-shaer Ahmed Sebaey Basheer Elmohamady Khalid Elgamal
author_sort	Mostafa Khalil
title	Mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study
title_short	Mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study
title_full	Mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study
title_fullStr	Mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study
title_full_unstemmed	Mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study
title_sort	mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: a prospective randomised study
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/66ad2d0935ec456bb6eaec4328c9d32e
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Mathieu technique with incision of the urethral plate versus standard tubularised incised-plate urethroplasty in primary repair of distal hypospadias: A prospective randomised study

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