Abstract
In a series of 1,989 operated cases of hypospadias, the technical details, precise indications, and results in 408 consecutive cases of distal and mid-penile hypospadias without chordee using the one-stage Mathieu-Righini procedure are described. This technique employs a meatal flap in which the prepuce is preserved and reconstructed. Twelve fistuals occurred, the majority in the initial phase of the experience, and 2 cases of meatal stenosis were easily managed by dilations. The overall complication rate was 3.4%. This technique provides very good cosmetic and functional results: the penis is normal in appearance as well as function. In the author's opinion, the Mathieu-Righini technique is the procedure of choice for mid-distal hypospadias without chordee repair.
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Belloli, G. The Mathieu Righini technique for mid-distal hypospadias repair. Pediatr Surg Int 9, 99–102 (1994). https://doi.org/10.1007/BF00176122
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DOI: https://doi.org/10.1007/BF00176122