Kızılöz Halil, Okçelik Sezgin, Temel Muhammed Cihan
Urology Department, Nevşehir State Hospital, Nevşehir, Turkey.
Andrologia. 2021 Mar;53(2):e13949. doi: 10.1111/and.13949. Epub 2020 Dec 23.
To evaluate the surgical outcomes of meatal advancement and glanuloplasty incorporation (MAGPI) and tubularised incised plate (TIP) urethroplasty. We retrospectively reviewed the patient records who had hypospadias repairing surgery between March 2017 and March 2020 in terms of age, meatal position, operative and anaesthesia techniques and surgical outcomes. Hypospadias repair was performed in 85 patients. TIP urethroplasty was performed in 17 patients where MAGPI was performed in 63 patients. Preoperative meatal stenosis was present in 10. Coronal glanular and subcoronal hypospadias were present in 65 and 15 patients respectively. Mean operative time was 41.3 ± 28 min. The mean duration of the catheter was 7.56 days. A significant chordee was present in 35 patients where 45 patients had no chordee. The overall success rate was 93.75%. MAGPI ended up with an unfavourable result in 1 and TIP urethroplasty in 4. Postoperative urethral stenosis was seen in 1. Of those who ended up with an unfavourable result, 4 were with subglandular hypospadias. Urethral catheter required in 4 of those who failed, whereas 1 had no catheter following surgery. Therefore, MAGPI is a useful method in selected glandular and subglandular hypospadias repair with favourable surgical outcomes including no stent requirement.
评估尿道口前移阴茎头成形术（MAGPI）和管状切开板尿道成形术（TIP）的手术效果。我们回顾性分析了2017年3月至2020年3月期间接受尿道下裂修复手术患者的病历，内容包括年龄、尿道口位置、手术及麻醉技术和手术效果。85例患者接受了尿道下裂修复手术。17例患者接受了TIP尿道成形术，63例患者接受了MAGPI手术。10例患者术前存在尿道口狭窄。冠状沟型阴茎头尿道下裂和冠状沟下型尿道下裂分别有65例和15例患者。平均手术时间为41.3±28分钟。导尿管平均留置时间为7.56天。35例患者存在明显的阴茎下弯，45例患者无阴茎下弯。总体成功率为93.75%。MAGPI手术有1例效果不佳，TIP尿道成形术有4例效果不佳。术后出现尿道狭窄1例。在效果不佳的患者中，4例为阴茎头下型尿道下裂。失败的患者中有4例需要留置尿道导管，而1例术后未留置导管。因此，MAGPI是一种用于选择性阴茎头型和阴茎头下型尿道下裂修复的有效方法，手术效果良好，包括无需放置支架。
