Kadir TÜRKÖLMEZ, Erol ÖZDİLER, Murat BOZLU, Mehmet BUDAK, Nihat ARIKAN, Yusuf Ziya MÜFTÜOĞLU

Distal hipospadias olgularında Mathieu yönteminin değerlendirilmesi

Ocak 1989 ile Temmuz 1997 tarihleri arasında Mathieu tekniği uygulanan distal hipospadiaslı 54 çocuk değerlendirilmiştir. Olguların yaş dağılımı 1.5 ile I6 yıl arasında olup ortalama yaş 5.1 yıl idi. Takip süreleri ise 3 ay ile 53 arasında olup ortalama takip süresi 16.2 ay olarak bulunmuştur. Postoperatif erken dönemde 5 olguda yara yeri enfeksiyonu , 1 olguda hematom, 2 olguda ise glans penisin lateral fleplerinde açılma izlenildi. Glans lateral flepleri açılan 2 olguya ek olarak geç dönemde ayrıca 8 olguda da ( 3 olguda meatal stenozla birlikte fistül, 1 olguda yalnızca meatal stenoz ve 4 olguda stenoz olmaksızın fistül ) komplikasyon izlenmiştir. Geç dönemde 54 olgıınun 44 ' ünde ( %81.4 ) herhangi bir ek girişiın gereksinimi olmamıştı r. Belirgin kordesi olmayan distal penil yerleşimli hipospadias olgularında usulüne uygun yapılan Mathieu operasyonunun sonuçları yüz güldürücüdür.

Evaluation of Mathieu technique in distal hypospadias patients

A total of 54 consecutive children with distal hypospadias who underwent the Mathieu procedure between January 1989 and July 1997 was evaluated. The patients' ages differentiated from 1.5 to 16 years. Mean age 5.1 years. Patients' follow-up periods were 3 to 53 months and mean follow-up period was 16.2 months. During early postoperative period surgical wound infection in 5 patients, hematoma in 1 patients and opening of lateral flab of glans in 2 patients have have been forund. During late postoperative period, other complications which were fistula with meatal stenosis in 13 patients , purely meatal stenosis in 1 patient and fiistula without stenosis in 4 patients have been found in total 8 patients. Within late period of surgery any intervention was not required for 44 out of 54 patients ( 81.4% ). Using right techniques, Mathieu operation is a relatively auspicious technique for patients with distal penile hypospadias without manifest chordee.

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