Modified Mathieu’s surgical procedure for distal penile hypospadias—our institutional experience

Abstract

Aims and Objective: This study was carried out to show modified Mathieu’s procedure to reduce the rate of complications of Mathieu’s procedure for the repair of primary distal hypospadias. Settings and Design: Prospective study. Materials and Methods: This study was carried out in the Department of Paediatric Surgery from March 2012 to March 2016. Children between 3 and 12 years were included in the study. We managed 40 patients with primary distal hypospadias. Those who had previous repair, chordee were excluded from the study. After a detailed history, local examination was performed with reference to the site and shape of meatus, glandular groove, penile size, and presence of chordee. Modified Mathieu’s was performed in 40 patients. On follow-up, the patients were examined for the position and the shape of the meatus, urinary stream, urethrocutaneous fistula, and stricture formation. Statistical Analysis Used: Done. Results: The mean age of the presentation was 7.5 ± 2.68 years (range 3–12 years). The mean operative time was 52.37 ± 5.42 min in modified Mathieu’s repair. Complications after surgery were urethrocutaneous fistula in one (2.5%), glandular disruption in 2 (5%), meatal stenosis in zero, wound infection in zero cases in modified Mathieu’s repair. The shape of meatus was near to rounded in all patients who had undergone modified Mathieu’s repair, which was accepted by parents cosmetically and with urinary stream in our study. Conclusion: The modified Mathieu’s repair is significantly faster with less complication in spite of having round-shaped meatus, which was cosmetically and with good urinary stream accepted by parents in our study.