Abstract
The external meatus anomalies should be diagnosed prior to the MAGPI in coronal hypospadias, but should also be looked for if a flap technique is considered in distal penile cases. The incidence of hypoplasia in the perimeatal area has been found to be 19% and 12% in coronal and distal penile hypospadias, respectively. Hypoplastic meatus prevents safe elevation of the skin flap, and needs its incision or wedge excision before the flap has been outlined.
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Orkiszewski, M. Hypoplastic meatus in distal hypospadias repair. International Urology and Nephrology 22, 141–146 (1990). https://doi.org/10.1007/BF02549832
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DOI: https://doi.org/10.1007/BF02549832