Selective Criteria and a Modified Technique of Applying "URAGPI" Technique for More Proximal Degree of Hypospadias

Not Applicable

• Conditions: Hypospadias
• Interventions: Procedure: URAGPI technique

• Registration Number: NCT03911635
• Lead Sponsor: Assiut University

Brief Summary

Hypospadias is a condition in which the location of the urethral meatus is on the ventral aspect of the penis.

Hypospadias is the most common congenital anomaly of urogenital organs in boys, with an incidence of approximately 1 in 250 newborns. Recently, case selection has been advised to avoid possible complications and limitations \[1\]. The meatal advancement and glanuloplasty (MAGPI) procedure was first described in 1981 for the repair of distal hypospadias. An excellent surgical result requires careful case selection, avoiding cases with thin or rigid ventral para-meatal skin or a meatus too proximal or too wide. The glans wrap to support the advanced ventral urethral wall requires a solid tissue approximation in two layers to prevent regression of the meatus. Meatal stenosis can be avoided by assuring an adequate dorsal Heineke- Mikulicz tissue rearrangement and making an incision from within the urethral meatus well distally into the urethral groove. . The overall success rate with the MAGPI procedure suggests that it should continue to be used in the repair of distal hypospadias \[2\]. The advantage of Urethral advancement, Glanuloplasty, and Preputioplasty \" URAGPI\" versus MAGPI Is that A) Applicability to almost any type of distal hypospadias regardless of the severity of glanular ventriflexion.

B) Normal appearance of the penis. C) Good functional results.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-03-23
• Study First Submitted QC: 2019-04-09
• Study First Posted: 2019-04-11
• Status Verified: 2020-01
• Last Update Submitted: 2020-01-07
• Last Update Posted: 2020-01-09
• Study Start: 2020-04-01
• Primary Completion: 2021-01-01
• Study Completion: 2021-03-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Male
• Target Recruitment: 75

Inclusion Criteria

• All patient with hypospadias from 1 to 12 years with penile selection according to Wang YN et. al

Exclusion Criteria

• circumcised patients
• sever degrees of chordae
• previous surgical repair
• meatal stenosis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Hypospadias in children	URAGPI technique	Distal shaft hypospadias at age of 12 years or less

Primary Outcome Measures

Name	Time	Method
Assessment of the patient immediately after removal of the catheter at the 7th day and after 3 weeks	3 weeks	evaluation according to "Hypospadias Objective Penile Evaluation Score"