Muhammad Ayub Khan, Muhammad Uzair, Munir Ahmad, Younas Khan, Arshad Kamal, Muhammad Fayaz, Mussarat Hussain, Asif Ahmad.
Meatal Mobilization Technique for Childhood Hypospadias Repair, an Early Experience at Lady Reading Hospital, Peshawar.
Ophthalmol Update Jan ;13(2):120-2.

Objective: To determine the effectiveness of meatal mobilization (MEMO) by distal urethral preparation as an improved surgical technique for distal hypospadias repair, including glanular, coronal and subcoronal location of the meatus, with or without chordee in children. Material and Methods: A total number of 60 patients with distal penile hypospadias with or without chordee were operated by using MEMO hypospadias repair technique from April 2013 to April 2014. After penile degloving, mobility of the meatus is evaluated and after urethral preparation the meatus is fixed to the tip of the glans. Glanuloplasty covers the neo-urethra providing a barrier layer. Shaft skin reconstruction completes the procedure Patients were evaluated regarding operative time, peri- or postoperative complications, hospital stay as well as functional and cosmetic outcome. Results: Mean duration of surgery was 43 minutes. There was no repair breakdown, new-onset chordee, or meatal stenosis. Primary success rate was 95%. Three patients developed urethral fistula which responded well with short regimen of weekly meatal dilatation for 4 weeks. preputial edema occurred in 3 in non-circumcised patients. In one patient a mild ventral penile deviation without a need for correction was noted leaving a success rate of 96%. Conclusion: The MEMO-technique is a valid and reliable method for the correction of distal hypospadias.This method istechnically simple, less time consuming giving the best cosmetic results with least complications.

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