A Review of Surgical Management Options of Megameatus Intact Prepuce

First and foremost, Megameatus intact prepuce (MIP) is a rare form of glandular hypospadias that affects about 3-6 percent of hypospadias patients. Surgical options in the management of megameatus intact prepuce depend on multiple scenarios and are multifactorial, resulting in a variety of surgical options with varying outcomes. The purpose of this article is to go over the surgical options for this rare type of hypospadias known as megameatus intact prepuce.

Materials and Methods: We look for information on the platforms listed below. Google Scholar, PubMed Central (PMC), PubMed, AJOL, and EMBASE for articles on Megameatus intact prepuce, and the last search was on 14th May, 2021, using the keywords surgical management options of megameatus intact prepuce, and the relevant articles were reviewed to extract surgical management options of megameatus intact prepuce variant of hypospadias from experts.

Results: Several surgical techniques, including the glanular approximation procedure (GAP), the pyramid procedure, the cutaneous advancement procedure, the tubularised incised plate (TIP), the tubularised Urethral Plate Urethroplasty (TUPU), the Mathieu technique, and the subcutaneous frenulum flap with many modifications, are used to restore function and cosmesis in MIP.

Discussion: MIP is a rare condition that was first described by Juskiewenski and colleagues in 1983. Several researchers have reported on various surgical treatment options with varying results. In 2011, Elbatarny et al observed GAP in seventeen patients with MIP over a five-year period, with an excellent outcome in 14 patients and a subjective score of 1 in two patients, with one patient expressing disappointment with the outcome. M. Sanal et al. discovered an excellent outcome in seven GAP cases.

Conclusion: The surgical management options for megameatus intact prepuce are numerous, with varying modifications and outcomes, necessitating a urologist’s knowledge of as many procedures as possible to achieve a desired goal in treating this group of patients with an unusual anomaly.

Author (s) Details

Dr. Muhammad Ujudud Musa
Department of Surgery, Federal Medical Center Katsina, Katsina State, Nigeria.

Abdulkadir Abubakar
Department of Surgery, Aminu Kano Teaching Hospital Kano, Kano State, Nigeria.

Dr. Bashir Yunusa
Department of Surgery, Aminu Kano Teaching Hospital Kano, Kano State, Nigeria.

Sadiq Abubakar
Department of Surgery, Usman Danfodio University Teaching Hospital Sokoto, Sokoto State, Nigeria

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