A STUDY OF THE RESULTS OF URETHRAL ADVANCEMENT AND GLANULOPLASTY (UAGP) IN REPAIRING ANTERIOR HYPOSPADIAS

Background: In this study, the results of Urethral Advancement & Glanuloplasty in repairing anterior hypospadias were considered. Hypospadias is a common urethral anomaly in boys. More than 65 percent of hypospadias cases are anterior (glanular, coronal and distal penil shaft). More than two hundreds original techniques have been applied to correct hypospadias. Each of these techniques has some complications. The most common complications of hypospadias repairing are fistula and meatal stenosis. Materials and Methods: A total of 74 boys with anterior hypospadias underwent the procedure of Urethral Advancement and Glanuloplasty (UAGP) in our medical centers from March 1994 to April 1999. The procedure included: degloving, correction of chordee, urethral mobilization and glans plasty. Cosmetic results were excellent in most patients. There was no fistula, and also meatal stenosis was not observed after applying V-Flap of the glans. Results & Conclusions: In a 1 - 6 year follow - up (mean 3.15 years, SD ± 1.79) the results functionally and cosmetically, were satisfactory in all cases with no long-tem complication or chordee.