Comparison of Magpi and mathieu repair in Distal Hypospadias

Abstract

To compare the outcome of MAGPI and Mathieu procedure in the treatment of disjtal penile hypospedias in children. This prospective comparative study was conducted in the department of Paeds Surgery LRH, peshawar from Jan 2002 to Dec 2002. A total of 40 children with distal hypospadias without chordae were selected. They were divided into two groups. DGroup one consisted of 20 children with glandular, coronal and subcoronal hypospadias withou a groove in the glans penis. For this group MAGPI procedure was performed. Group two consisted of 20 children with coronal and subcoronal hypospadias with a groove in the glans penis. This group was managed with mathieu procedure. Results of the  two procedure were compared. Age of these boys ranged from one to 10 years. 32 children had coronal and subcoronal hypospadias while 8 had glandular hypospadias. The MAGPI procedure was found to have better results as the fistula rate was significantly less in spite of the frequent meatal as the fistula rate was significantly less in spite of the frequent meatal stenosis.