Abstract
The slit-like adjusted Mathieu (SLAM) technique is a reliable technique for correction of all distal and mid-penile hypospadias with persistent good results. The key modifications are the design of a converging incision at the tip of the glans, V excision from the tip of the meatal based flap, and the technique of suturing. It avoids the drawbacks of the classic Mathieu (a transverse rounded meatus that is not terminal). Multiple layer closure and careful attention to technical details contributed to 3% complication rate in primary distal hypospadias.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- MAVIS:
-
Mathieu and V incision sutured
- SLAM:
-
Slit-like adjusted Mathieu
- TIP:
-
Tubularized incised plate
References
Mathieu P. Traitement en un temps de l’hypospade balanique et juxta-balanique. J Chir. 1932;39:481.
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.
Cook A, Khoury AE, Neville C, Bagli DJ, Farhat WA, Pippi Salle JL. A multicenter evaluation of technical preferences for primary hypospadias repair. J Urol. 2005; https://doi.org/10.1097/01.ju.0000180643.01803.43.
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 Y-V glanuloplasty modified “Mathieu” technique. Hypospadias Surg. 2004; https://doi.org/10.1007/978-3-662-07841-9_19.
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.
Hadidi AT. Double Y glanuloplasty for glanular hypospadias. J Pediatr Surg. 2010; https://doi.org/10.1016/j.jpedsurg.2009.11.019.
Barcat J. Symposium sur l’hypospadias. 16th meeting of the French Society of Children’s Surgery. Ann Chir Infant. 1969;10(287)
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.
Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. J Urol. 1994; https://doi.org/10.1016/S0022-5347(17)34991-1.
Aminsharifi A, Taddayun A, Assadolahpoor A, Khezri A. Combined use of mathieu procedure with plate incision for hypospadias repair: a randomized clinical trial. Urology. 2008; https://doi.org/10.1016/j.urology.2008.02.034.
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.
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.
Reddy LN. One-stage repair of hypospadias. Urology. 1975; https://doi.org/10.1016/0090-4295(75)90070-9.
Orkiszewski M. Urethral reconstruction in skin deficit. Urol Pol/Polish Urol. 1987;40:12–5.
Braga LHP, Lorenzo AJ, Salle JLP. Tubularized incised plate urethroplasty for distal hypospadias: a literature review. Indian J Urol. 2008; https://doi.org/10.4103/0970-1591.40619.
Chrzan R, Dik P, Klijn AJ, de Jong TPVM. Quality assessment of hypospadias repair with emphasis on techniques used and experience of pediatric urologic surgeons. Urology. 2007; https://doi.org/10.1016/j.urology.2007.01.103.
Holland AJA, Smith GHH. Effect of the depth and width of the urethral plate on tubularized incised plate urethroplasty. J Urol. 2000; https://doi.org/10.1016/S0022-5347(05)67408-3.
Sarhan O, Saad M, Helmy T, Hafez A. Effect of suturing technique and urethral plate characteristics on complication rate following hypospadias repair: a prospective randomized study. Randomized Controlled Trial. 2009;182:682–6.
Snodgrass W, MacEdo A, Hoebeke P, Mouriquand PDE. Hypospadias dilemmas: a round table. J Pediatr Urol. 2011; https://doi.org/10.1016/j.jpurol.2010.11.009.
Imamoǧlu MA, Bakirtaş H. Comparison of two methods—Mathieu and Snodgrass—in hypospadias repair. Urol Int. 2003; https://doi.org/10.1159/000072674.
Duckett JW, Keating MA. Technical challenge of the megameatus intact prepuce hypospadias variant: the pyramid procedure. J Urol. 1989; https://doi.org/10.1016/S0022-5347(17)41325-5.
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 Slit-Like Adjusted Mathieu (SLAM) Technique. In: Hadidi, A.T. (eds) Hypospadias Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-94248-9_22
Download citation
DOI: https://doi.org/10.1007/978-3-030-94248-9_22
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-94247-2
Online ISBN: 978-3-030-94248-9
eBook Packages: MedicineMedicine (R0)