Letter to Editor
Letter to Editor: Clinics in Surgery
Ali Atan*
Department of Urology, Gazi University, Turkey
*Corresponding author: Ali Atan, Department of Urology, Gazi University School of Medicine, Turkey
Published: 22 Nov, 2017
Cite this article as: Atan A. Letter to Editor: Clinics in
Surgery. Clin Surg. 2017; 2: 1750.
Letter to Editor
Have read two papers related to urethral mobilization and advancement procedure for
distal hypospadias repair published in 2017 [1,2]. There are many techniques described for the
repairement of hypospadias. Although some of them are used very common, urethralmobilization
and advencement procedure is one of the methods which is not a frequently used in spite of being a
simple and easily learned method as the authors mentioned in their paper. In suitable cases of distal
hypospadias, this method is very succesfull for both cosmetically and functionally as the authors
mentioned. Additionally, short catheter time and no fistul formation are the other advantages.
We had published our results about urethral mobilization and advancement procedure in the
cases of distal hypospadias [3]. Our results were also very satisfactory. No fistula formation and meatal
retraction had been seen. Urethral catheter had been removed in postoperative second day. Urethra
mobilization had been ranged from 0.5 cm to 1.5 cm. Cosmetic and functional results were good in
sixth month control. Main complication was meatal stenosis. It was probably related to insufficient
dissection of glandular wings. Two important points should be emphasized in particular for this
method. They are adequate dissection of glandular wings and adequate urethral mobilization. First
one is important for avoiding meatal stenosis. Second one is important for preventing postoperative
metal retraction. If these two points are considered during the surgery, both cosmetic and functional
results will be perfect. I would like to thank the authors for reminding us that this method is not used
as often as it deservesurethral mobilization and advancement method should be kept in mind by the
surgeons dealing with hypospadias.
References
- EI Darawany HM, AI Damhogy ME. Urethral mobilization as an alternative procedure for distal hypospadias repair. Urology. 2017;104:183-6.
- Gite VA, Nikose JV, Bote SM, Patil SR. Anterior urethral advancement as a single-stage technique for repair of anterior hypospadias: ourexperience. Urol J. 2017;14:4034-7.
- Atan A, Yildiz M, Aydoğanli L, Başar H, Basar M, Akalin Z. Urethral sleeve advancement in repairment of distal hypospadias. Arc Ital Urol Androl. 1996;68:103-5.