Muhammad Akmal Samore, Muhammad Akram Malik, Zahid Iqbal.
Management of distal Hypospadias : Mathieu`s repair versus Tubularized incised plate Urethroplasty.
Pak J Surg Jan ;22(3):154-8.

Objective: To compare the results of Mathieu`s repair & Tubularized incised plate urethroplasty for distal Hypospadias. Design & Duration: Prospective, randomized, comparative study from May 2004 to June 2005. Setting: Department of Urology, Allied Hospital, Faisalabad. Patients: Twenty patients with distal Hypospadias. Methodology: Out of the 20 patients, half were managed by Mathieu`s repair and the other half by tubularized incised plate urethroplasty. Results: The mean age at presentation was 5.45 years. Good cosmetic and functional results were achieved by both the techniques. The overall success rate was 80% by Tubularized incised plate urethroplasty. Urethrocutaneous fistula developed in two patients and meatal stenosis in one case, which responded to regular dilatation. In the case of Mathieu`s repair the overall success rate was 70%; fistula occurred in two and total disruption in one case, while one patient developed meatal stenosis which responded to regular dilatation. Conclusion: Both techniques are good for distal Hypospadias repair. However, Tubularized incised plate urethroplasty proved better than the Mathieu`s repair.

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