Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce

Shou Xing Duan; Jianhong Li; Xuewu Jiang; Xuan Zhang; Wenhui Ou; Maxian Fu; Kaihong Chen; Lian Zheng; Shu Hua Ma

doi:10.3389/fped.2020.00128

Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce

Front Pediatr. 2020 Mar 31:8:128. doi: 10.3389/fped.2020.00128. eCollection 2020.

Authors

Shou Xing Duan^{1

2}, Jianhong Li², Xuewu Jiang³, Xuan Zhang³, Wenhui Ou², Maxian Fu², Kaihong Chen², Lian Zheng¹, Shu Hua Ma⁴

Affiliations

¹ Department of Pediatric Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
² Department of Pediatric Surgery, The Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
³ Department of Pediatric Surgery, Shenzhen Pingshan District Woman's and Children's Hospital, Southern Medical University, Shenzhen, China.
⁴ Department of Radiology, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.

Abstract

Purpose: To evaluate the diagnosis and treatment methods of hypospadias with megameatus intact prepuce (MIP). Materials and Methods: A retrospective analysis was performed in 27 MIP children, 13 of whom underwent tubularized incised plate urethroplasty (TIP procedure), 7 underwent the Duplay procedure, 5 underwent the Mathieu procedure, 1 underwent meatal advancement and glanuloplasty (MAGPI procedure), and 1 underwent the glans approximation procedure (GAP). The patients were followed for 6-36 months to evaluate the surgical outcomes by the Pediatric Penile Perception Score (PPPS). Results: A total of 27 patients with a mean age of 8.12 ± 3.0 years were enrolled in this study, and 25 cases (25/27, 92.6%) were accidentally discovered during the first visit for phimosis. The patients had a formed urethra of 0.5 to 1.5 cm. Complications occurred in 4 of the 27 patients (14.81%): 2 patients with urethral fistula and 2 patients with meatal stenosis. One patient had a case of self-healed urethral fistula, and the remaining 3 patients underwent reoperation. The post-operative effect was satisfactory in all patients, and the urinary flow and stream during urination were normal. The overall average PPPS score of non-operative surgeons and parents was satisfactory. There were no significant differences in meatus appearance, glans appearance, skin appearance, and general appearance PPPS score among the Mathieu, TIP, and Duplay surgical procedures. Conclusions: MIP clinical manifestations are concealed and usually noted when circumcision is attempted. The suitable procedure for each patient should be tailored according to the anatomic features, and several techniques can be used with good functional and cosmetic results.

Keywords: PPPS; hypospadias; intact prepuce; megameatus; urethral plate.