%0 Journal Article
%T Urethral pull
%A Gnanaraj Jesudian
%A Rajendra Nehete
%A Sagar A. Jawale
%J Tropical Doctor
%@ 1758-1133
%D 2019
%R 10.1177/0049475518807315
%X This case series of 51 patients (age range£¿=£¿11¨C17 years; 30-month follow-up) describes a new modified approach to treatment of distal and mid-penile hypospadias that has fewer complications. The meatal locations were sub-coronal (51%), coronal (45%) and mid-penile (4%). Forty patients had chordee. Urethra with the corpus spongiosum was dissected off the corpus cavernosum up to the peno-scrotal junction. The distal 5£¿mm stenotic and avascular part of the urethral tube was excised. The elastic urethra was then stretched and sutured to form a neo-meatus. The urethra was anchored to the Buck¡¯s fascia at the glandular, sub-coronal and mid-penile levels. Meatal regression in one patient (2%), subcutaneous hematomas in two patients (4%) and wound dehiscence in two patients (4%) were the complications in the immediate postoperative period. None developed fistula, meatal stenosis or residual chordee in the 30-month follow-up
%K Congenital disease
%K physiology
%K surgery
%K urologic
%U https://journals.sagepub.com/doi/full/10.1177/0049475518807315