Selective Criteria and a Modified Technique of Applying "URAGPI" Technique for More Proximal Degree of Hypospadias

Assiut University

Status: Unknown

Conditions: Hypospadias

Treatments: Procedure: URAGPI technique

Study type: Interventional

Funder types: Other

Identifiers

NCT03911635

URAGPI in hypospadias

Details and patient eligibility

About

Hypospadias is a condition in which the location of the urethral meatus is on the ventral aspect of the penis.

Hypospadias is the most common congenital anomaly of urogenital organs in boys, with an incidence of approximately 1 in 250 newborns. Recently, case selection has been advised to avoid possible complications and limitations [1]. The meatal advancement and glanuloplasty (MAGPI) procedure was first described in 1981 for the repair of distal hypospadias. An excellent surgical result requires careful case selection, avoiding cases with thin or rigid ventral para-meatal skin or a meatus too proximal or too wide. The glans wrap to support the advanced ventral urethral wall requires a solid tissue approximation in two layers to prevent regression of the meatus. Meatal stenosis can be avoided by assuring an adequate dorsal Heineke- Mikulicz tissue rearrangement and making an incision from within the urethral meatus well distally into the urethral groove. . The overall success rate with the MAGPI procedure suggests that it should continue to be used in the repair of distal hypospadias [2]. The advantage of Urethral advancement, Glanuloplasty, and Preputioplasty " URAGPI" versus MAGPI Is that A) Applicability to almost any type of distal hypospadias regardless of the severity of glanular ventriflexion.

B) Normal appearance of the penis. C) Good functional results.

Enrollment: 75 estimated patients

Sex: Male

Ages: 1 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patient with hypospadias from 1 to 12 years with penile selection according to Wang YN et. al

Exclusion criteria

• circumcised patients
• sever degrees of chordae
• previous surgical repair
• meatal stenosis

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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75 participants in 1 patient group

Hypospadias in children

Experimental group

Description:

Distal shaft hypospadias at age of 12 years or less

Treatment:

Procedure: URAGPI technique