Print this page Email this page
Users Online: 52
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2016  |  Volume : 6  |  Issue : 4  |  Page : 201-205

MAGPI technique for distal penile hypospadias; modifications to improve outcome at a single center


1 Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
2 Department of Physiology, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Aditya P Singh
Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ais.ais_37_16

Rights and Permissions

Background: Hypospadias is the most common congenital anomaly of urogenital organs in boys. We reviewed our experience with modification in the meatal advancement and glanuloplasty incorporated (MAGPI) technique of hypospadias repair. We point out some modifications and outcomes of this technique in this study. Patients and Methods: We identified all patients who underwent modified MAGPI repair of the distal hypospadias by a single surgeon over a 10-year period. We performed a retrospective chart review by outdoor assessment postoperatively. We assessed parents' satisfaction with functional and cosmetic outcomes. Decision to undergo this type of repair was intraoperative, depending on position and mobility of the meatus, and the quality of periurethral tissue. We made some modifications in the original technique of the MAGPI including no trimming of the edge of the glans in granuloplasty, incorporation of the collar in the granuloplasty; leading to glans augmentation and taking stay suture over the ventral wall of the urethra with some perimeatal tissue. Results: Our study was a retrospective analysis. We collected data retrospectively and outcomes were assessed by the outpatient department visits in follow-up. We identified 150 patients, with a median age of 6 years (3–8 years). Position of meatus was glanular 90 (60%) or coronal 60 (40%). Chordee was minimal in our study and was corrected by only penile degloving. Urethral stenting was required in all patients for 3–4 days. There was no case of fistula, meatal regression, stenosis, mucosal prolapse, or second procedure. Cosmetic outcome was deemed satisfactory in 98% (147/150). Conclusion: In selected cases, our modifications in the MAGPI hypospadias repair provide excellent functional and cosmetic outcomes with minimal complications.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed162    
    Printed3    
    Emailed0    
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal