Abstract
Meatal-based flaps have been described since 1861. It is suitable for all forms of distal hypospadias where the meatus lies distal to the middle of the penis. It is also suitable as a salvage procedure. The main issue was that the meatus looked like a fish mouth. Several modifications were described to improve the appearance of the meatus including Barcat’s, MAVIS, and Y-V modified Mathieu.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Abbreviations
- MAGPI:
-
Meatal advancement and glanuloplasty incorporated
- MAVIS:
-
Mathieu and V incision sutured
- SLAM:
-
Slit-like adjusted Mathieu
References
Thiersch K. Ueber die Enstehungsweise und operative Behandlung der Epispadie. Arch der Heilkd. 1869:10–20.
Bouisson L. De l’hypospadias et de son traitement chirurgical. Trib Chir. 1861;2:484.
Wood J. A new operation for the cure of hypospadias. Med Times Gaz I. 1875;114:242.
Ombrédanne L. L’hypospadias pénien chez l’enfant. Bull Soc Chir. 1911;1076
Ombrédanne L. Precis clinique et operation de chirurgie infantile. Paris: Masson; 1932.
Bevan AD. A new operation for hypospadias. J Am Med Assoc. 1917;68:1032.
Mathieu P. Traitement en un temps de l’hypospade balanique et juxta-balanique. J Chir. 1932;39:481.
Fevre M. Technique for anterior hypospadias. J Chir. 1961;81:562.
Mustardé JC. One-stage correction of distal hypospadias: and other people’s fistul{high symbol}. Br J Plast Surg. 1965; https://doi.org/10.1016/S0007-1226(65)80068-6.
Barcat J. Hypospadias. 3. Les uréthroplasties. Leurs résultats. Leurs complications. Ann Chir Infant. 1969;10(4):310–76
Barcat J. Current concepts of treatment. In: Horton CE, editor. Plastic and Reconstructive Surgery. Boston: Little Brown; 1973. p. 149–263.
Boddy SA, Samuel M. A natural glanular meatus after “Mathieu and a V incision sutured”: MAVIS. BJU Int. 2000; https://doi.org/10.1046/j.1464-410X.2000.00758.x.
Hadidi AT. Y-V Glanuloplasty a new modification in the surgery of hypospadias. Kasr El Aini Med J. 1996;2:223–33.
Hadidi AT. The slit-like adjusted Mathieu technique for distal hypospadias. J Pediatr Surg. 2012; https://doi.org/10.1016/j.jpedsurg.2011.12.030.
Rabinowitz R. Outpatient catheterless modified Mathieu hypospadias repair. J Urol. 1987; https://doi.org/10.1016/s0022-5347(17)43506-3.
Gonzales ET, Veeraraghavan KA, Delaune J. The management of distal hypospadias with meatal-based, vascularized flaps. J Urol. 1983; https://doi.org/10.1016/S0022-5347(17)51950-3.
Rabinowitz R, Hulbert WC. Meatal-based flap Mathieu procedure. In: Ehrlich RM, Alter GJ, editors. Reconstructive and Plastic Surgery of the External Genitalia: Adult and Pediatric. Philadelphia: Saunders; 1999. p. 39–43.
Kim SH, Hardy Hendren W. Repair of mild hypospadias. J Pediatr Surg. 1981;16:806–11.
Wacksman J. Modification of the one-stage flip-flap procedure to repair distal penile hypospadias. Urol Clin North Am. 1981;8:527–30.
Belman AB. Hypospadias. In: Welch KJ, Randolph JG, Ravitch MM, O’Neill JA, Rowe MI, editors. Pediatric surgery. 4th ed. Year Book Medical Chicago; 1986. p. 1286–302.
Belman AB. De-epithelialized skin flap coverage in hypospadias repair. J Urol. 1988; https://doi.org/10.1016/s0022-5347(17)42022-2.
Belman AB. Hypospadias and other urethral abnormalities. In: Kelalis PP, King LR, Belman AB, editors. Textbook of Clinical Pediatric Urology, vol. Vol. 1. 3rd ed. Philadelphia: Saunders; 1992. p. 619–63.
Belman AB. The modified Mustarde hypospadias repair. J Urol. 1982; https://doi.org/10.1016/S0022-5347(17)53619-8.
Duckett JW. Hypospadias. In: Walsh PC, Retik AB, EDJ V, Wein AJ, editors. Campbell-Walsh Urology. 7th ed. Philadelphia: Saunders; 1998. p. 2103–19.
Roth DR. Hypospadias. In: Gonzales ET, Bauer SB, editors. Pediatric Urology Practice. Philadelphia: Lippincott Williams & Wilkins; 1999. p. 487–97.
Smith ED. Hypospadias. In: Ashcraft KW, editor. Pediatric Urology. Philadelphia: Saunders; 1990. p. 353–95.
Devine CJ, Horton CE. Hypospadias Repair. J Urol. 1977;118:188–93.
Bocchiotti G, Bruschi S, Bogetti P, Bergonzelli F. Technical considerations using the Horton-Devine technique in distal hypospadias. Ann Plast Surg. 1982; https://doi.org/10.1097/00000637-198208000-00013.
Brodsky MA. Reconstruction of the urethra and penis in hypospadias according to Horton-Devine. Ann Chir Gynaecol. 1980;69
Woodard JR, Cleveland R. Application of Horton-Devine principles to the repair of hypospadias. J Urol. 1982; https://doi.org/10.1016/S0022-5347(17)54278-0.
Rich MA, Keating MA, Snyder McC H, Duckett JW. Hinging the urethral plate in hypospadias meatoplasty. J Urol. 1989; https://doi.org/10.1016/S0022-5347(17)39161-9.
Aktuğ T, Akgür FM, Olguner M, Eroğlu G, Hoşgör M. Outpatient Catheterless Mathieu repair: how to cover ventral penile skin defect. Eur J Pediatr Surg. 1992; https://doi.org/10.1055/s-2008-1063412.
Buson H, Smiley D, Reinberg Y, Gonzalez R, Rubinowitz R. Distal hypospadias repair without stents: is it better? J Urol. 1994; https://doi.org/10.1016/S0022-5347(17)35180-7.
Retik AB, Mandell J, Bauer SB, Atala A. Meatal based hypospadias repair with the use of a dorsal subcutaneous flap to prevent urethrocutaneous fistula. J Urol. 1994; https://doi.org/10.1016/S0022-5347(17)32555-7.
Borer JG, Retik AB. Current trends in hypospadias repair. Urol Clin North Am. 1999; https://doi.org/10.1016/S0094-0143(99)80004-4.
WHEELER RA, MALONE PS, GRIFFITHS DM, BURGE DM. The Mathieu operation. Is a urethral stent mandatory? Br J Urol. 1993; https://doi.org/10.1111/j.1464-410X.1993.tb16007.x.
Ravasse P, Petit T. Mathieu’s urethroplasty in surgery for hypospadia postoperative complications. Ann. Urol. (Paris). 2000;34
Gough DCS, Dickson A, Tsung T. Mathieu hypospadias repair: postoperative care. In: Thüroff JW, Hohenfellner M, editors. Reconstructive Surgery in the Lower Urinary Tract in Children. Oxford: Isis Medical Media; 1995. p. 55–8.
Hakim S, Merguerian PA, Rabinowitz R, Shortliffe LD, McKenna PH. Outcome analysis of the modified mathieu hypospadias repair: comparison of stented and unstented repairs. J Urol. 1996; https://doi.org/10.1016/S0022-5347(01)65834-8.
Churchill BM, Van Savage JG, Khoury AE, McLorie GA. The dartos flap as an adjunct in preventing urethrocutaneous fistulas in repeat hypospadias surgery. J Urol. 1996; https://doi.org/10.1016/S0022-5347(01)65432-6.
Ravasse P, Petit T, Delmas P. Anterior hypospadias : Duplay or Mathieu? Prog Urol. 2000;10
Snow BW, Cartwright PC, Unger K. Tunica vaginalis blanket wrap to prevent Urethrocutaneous fistula: an 8-year experience. J Urol. 1995; https://doi.org/10.1097/00005392-199502000-00061.
de Jong TPVM, Boemers TM. Improved Mathieu repair for coronal and distal shaft hypospadias with moderate Chordee. Br J Urol. 1993; https://doi.org/10.1111/j.1464-410X.1993.tb16313.x.
Oswald J, Körner I, Riccabona M. Comparison of the perimeatal-based flap (Mathieu) and the tubularized incised-plate urethroplasty (Snodgrass) in primary distal hypospadias. BJU Int. 2000; https://doi.org/10.1046/j.1464-410X.2000.00479.x.
Tekant G, Beşik C, Emir H, Büyükünal SNC. Is it possible to create a slit-like meatus without incising the urethral plate? Pediatr Surg Int. 2002; https://doi.org/10.1007/s00383-002-0773-8.
Hinman FJ. Atlas of pediatric urology surgery. Philadelphia: Saunders; 1994.
De Grazia E, Cigna R, Cimador M. Modified-Mathieu’s technique: a variation of the classic procedure for hypospadias surgical repair. Eur J Pediatr Surg. 1998;8:98–9.
Hayashi Y, Sasaki S, Kojima Y, Maruyama T, Tozawa K, Mizuno K, Kohri K. Primary and salvage urethroplasty using Mathieu meatal-based flip-flap technique for distal hypospadias. Int J Urol. 2001; https://doi.org/10.1046/j.1442-2042.2001.00237.x.
Simmons GR, Cain MP, Casale AJ, Keating MA, Adams MC, Rink RC. Repair of hypospadias complications using the previously utilized urethral plate. Urology. 1999; https://doi.org/10.1016/S0090-4295(99)00322-2.
Elder JS, Duckett JW, Snyder HM. Onlay island flap in the repair of mid and distal penile hypospadias without chordee. J Urol. 1987; https://doi.org/10.1016/S0022-5347(17)43152-1.
Mollard P, Mouriquand P, Basset T. Le Traitement de L’hypospade. Chir Pediatr. 1987;28
Mouriquand PD, Mure PY. Hypospadias. In: Gearhart JP, Rink RC, Mouriquand PD, editors. Pediatric Urology. Philadelphia: Saunders; 2001. p. 713–28.
Murphy JP. Hypospadias. In: Ashcraft KW, Murphy JP, Sharp RJ, Sigalet DL, Snyder CL, editors. Pediatric surgery. 3rd ed. Philadelphia: Saunders; 2000. p. 763–82.
Dolatzas T, Chiotopoulos D, Antipas S, Demetriades D, Ipsilantis S. Hypospadias repair in children: review of 250 cases. Pediatr Surg Int. 1994; https://doi.org/10.1007/BF01686008.
Minevich E, Pecha BR, Wacksman J, Sheldon CA. Mathieu hypospadias repair: experience in 202 patients. J Urol. 1999; https://doi.org/10.1016/S0022-5347(05)68143-8.
Hadidi AT. The Y-V Glanuloplasty modified “Mathieu” technique. Hypospadias Surg. 2004; https://doi.org/10.1007/978-3-662-07841-9_19.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Hadidi, A.T. (2022). The Meatal-Based Flap Principle. In: Hadidi, A.T. (eds) Hypospadias Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-94248-9_21
Download citation
DOI: https://doi.org/10.1007/978-3-030-94248-9_21
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-94247-2
Online ISBN: 978-3-030-94248-9
eBook Packages: MedicineMedicine (R0)