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Arab Journal of Urology
An International Journal
Volume 13, 2015 - Issue 3
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Pediatric Urology

A modified onlay island flap vs. Mathieu urethroplasty for distal hypospadias repair: A prospective randomised studyFootnote

Pages 169-175 | Received 29 May 2015, Accepted 13 Jun 2015, Published online: 05 Apr 2019

Figures & data

Fig. 1 Operative steps of the MOIF urethroplasty; (A) skin incisions delineating the flap. (B) Excision of skin lateral to the flap. (C) Excision of the preputial mucosa with preservation of the dartos fascia. (D) Longitudinal incision of the dartos fascia. (E) Meatoplasty by excising excess preputial skin flush with the glans penis.

Fig. 2 Line drawings of the MOIF urethroplasty; operative steps. (A) Dorsal preputial skin incisions. (B) Excised skin lateral to the flap and dartos incision (dashed line). (C) Excision of the inner preputial layer and dorsal button-holing of the penis. (D) Suturing of the flap to the edges of the UP. (E) Dartos pedicles cover the suture lines. (F) Final appearance and the outer suture line.

Table 1 The suggested postoperative cosmetic evaluation score.

Fig. 3 Cosmetic results of the MOIF urethroplasty show: (A) a vertical slit-like UM (score 3). (B) A disfigured UM, excellent CS and PS (score = 1 + 3 + 3 = 7; satisfactory PCA).

Table 2 Preoperative patient data, operative duration and postoperative data (complications, cosmetic appearance, shape of urinary stream and satisfaction of relatives).