Urethral Mobilization as an Alternative Procedure for Distal Hypospadias Repair

Abstract Objective To evaluated the urethral mobilization procedure as the main technique in management of glanular, coronal, subcoronal, and distal penile hypospadias. Patients and Methods Sixty patients with distal hypospadias were included in this prospective study between January 2013 and January 2015. All of them repaired by urethral mobilization. All patients were followed up at 2 weeks, 1, 3, 6 and 12 months post operatively. Duration of the operation, hospital stay, position of meatus and its shape before and after the operation and the postoperative complications were recorded. The force and direction of the postoperative voiding stream were observed and assessed subjectively. Results The mean operative time and hospital stay were 38 minutes and 2.2 days respectively. Post operatively, two patients developed wound infection, one of them developed glanular suture dehiscence managed by simple glanular suturing 3 month later. None of our patients developed urethrocutaneous fistula. Three months postoperatively, 2 patients developed meatal stenosis, one of them managed by meatal dilation while the other patient required ventral meatotomy. Conclusion Hypospadias surgery aim to construct a functionally and cosmetically normal penis with minimal complications. Recently, urethral mobilization started to regain its position in distal hypospadias repair. Its results are comparable with other popular procedures or even better. Urethral mobilisation is an easy and simple procedures and it has an excellent cosmetic and functional outcome with minimal complications.