Our preference for distal hypospadius particularly the subcoronal ones is Mathieu repair. It gives good functional as well as good cosmetic results in our experience.
On behalf of Dr. Shivam I am attaching image sent by him. This type of distal Hypospadias he selects for Matthieu repair...
I concur with Dr. Shivam, Mathieu repair has good outcomes in few select cases.
Case selection criterias:
Glandular or coronal meatus
Deep Glans Groove
No tethering of perimeatal Skin to underlying uretrha
I hope there will be many more doing hypospadias/ Mathieu procedure. Please add your comments.
In mathiue repair,if we flip the distal penile skin...how does it get its blood supply?? Is necrosis a problem in mathiue?