Coronal Hypospadias: Meatal Advancement and Glanuloplasty or Tubularized Incised Plate Urethroplasty?

Introduction: Hypospadias is a congenital anomaly of urethra and penil foreskin. In this setting urethral mea may place anywhere in penil shaft along corona to perineum. More than 300 surgical techniques for hypospadias repair have been described. Method: In this study we aimed to present our cases operated with either Meatal Advancement and Glanuloplasty (MAGPI) or Tubularized Incised Plate Urethroplasty (TIPU) procedures for coronal hypospadias. Results: Ninety six patients involved in the study, the urethral meae were located coronally. The average age was 6,6. MAGPI was performed in 28 patients and TIPU was performed in 68 patients. Patients operated with MAGPI were carried in outpatient setting. Average hospital stay in patients operated with TIPU was 6,3 days. There were only complication in MAGPI procedure but in TIPU procedure 2 patients had fistula, 6 patients had meatal stenosis and 1 patient had glanular dehissence. On follow up families were asked for cosmetic satisfaction, there were no difference between these procedures. Conclusion: Many procedures were introduced for coronal hypospadias. MAGPI can be performed in selected cases because of low complication rate and short hospital stay.