Akademik Veri Yönetim Sistemi
Journal of Experimental and Clinical Medicine (Turkey), cilt.36, sa.2, ss.43-47, 2019 (Scopus)
The aim of this study is to contribute to a better understanding and treatment of hypospadias by a surgical technique. We applied a surgical technique for primary distal hypospadias, 118 cases in our clinic between 2007 and 2017. The surgical technique for the hypospadias: the first step is that extending the urethra from the proximal to the distal by means of glandular incision, the second step is to make an incision line under the glans and last one is giving an cosmetic appearance to penis. Glandular opening developed in two (1.6%) of these cases, and urethral fistula in four (3.2%). One of the cases of urethral fistula was accompanied by meatal stenosis; in addition, meatal stenosis was developed in a total of five cases and external meatotomy was performed in one of these. The other four cases were corrected with urethral dilation. The technique we apply is quite simple; and can easily be applied in the treatment of all forms of distal hypospadias. It is suggested that it represents a significant therapeutic option in distal hypospadias surgery since, in addition to being easy to perform; it also has low complication rates and provides satisfactory cosmetic and functional outcomes. It is well known that complication rates are declining significantly with advances in existing surgical techniques. We believe that further development is required in hypospadias surgery to get better results. Applied technique in our clinic might be a surgical option in terms of cosmetic appearance and general complications.