Abstract
The prominent or deep glanular groove variety of distal hypospadias associated with megameatus is often hidden by an intact prepuce; a large number of children have been circumcised due to the apparently normal appearance of the prepuce and surgical options may then be limited due to the circumcision. The megameatus and intact prepuce variant of anterior hypospadias was described by Duckett and Keating in 1989 and is characterised as a subcoronal wide-mouth meatus with deep glanular groove associated with normal prepuce and no chordee. It was thought possibly to be due to maldevelopment of the glanular epithelial infolding and misdirected correcting of the glans proceeding down the already fused distal urethra, creating a megaurethra and keeping the foreskin intact (Duckett and Keating 1989).
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References
Attalla ML: Subcoronal hypospadias with complete prepuce: a distinct entity and new procedure for repair. Br J Plast Surg. 1991;44:122–125.
Belman AB: Deepithelialized skin flap coverage in hypospadias repair. J Urol. 1988; 140:1273
Docimo SG: Subcutaneous frenulum flap (SCFP) for iatrogenic or primary megameatus and re-operative hypospadias repair. Urology. 2001; 58:261–273
Duckett JW, Keating MA: Technical challenge of the megameatus intact prepuce hypospadias variant. The pyramid procedure. J Urol. 1989; 141:1407–1409
Hill GA, Wacksmann J, Lewis AG, et al: The modified pyramid hypospadias procedure: Repair of megameatus and deep glandular groove variants. J Urol. 1993; 150:1208–1211.
Nonomura K, Kakizakia H, Shomoda N, et al: Surgical repair of anterior hypospadias with fish-mouth megameatus and intact prepuce based on an anatomical characteristics. Eur Urol. 1998; 34:368–371.
Retik AB, Keating M, Mandell J: Complications of hypospadias repair. Urol Clin N Am. 1988; 15:223
Smith D: A deepithelialized overflap flap technique in the repair of hypospadias. Br J Plast Surg. 1973; 26:106
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© 2004 Springer-Verlag Berlin Heidelberg
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Azmy, A.F. (2004). Megameatus Intact Prepuce Variant. In: Hadidi, A.T., Azmy, A.F. (eds) Hypospadias Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07841-9_17
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DOI: https://doi.org/10.1007/978-3-662-07841-9_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-07843-3
Online ISBN: 978-3-662-07841-9
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