Contents
What is Magpi hypospadias?
The meatal advancement and glanduloplasty (MAGPI) procedure was first described in 1981 for the repair of distal hypospadias. In the past decade, our experience has grown to more than 1000 procedures.
What is Magpi surgery?
(mag-py) meatal advancement and glanuloplasty operation: a simple surgical procedure that is designed to correct minor to moderate degrees of coronal or subcoronal hypospadias. This single-stage operation corrects any associated minor degrees of chordee and transfers the urethral opening to the glans.
What is meatal advancement and Glanuloplasty?
Objective: The meatal advancement and glanuloplasty (MAGPI) technique is still successfully used for the repair of distal hypospadias. The technique has been modified considerably since it was first described in 1981. The primary drawbacks of the procedure are the complications of meatal regression and meatal stenosis.
When should hypospadias be corrected?
Hypospadias repair is done most often when boys are between 6 months and 2 years old. The surgery is done as an outpatient. The child rarely has to spend a night in the hospital. Boys who are born with hypospadias should not be circumcised at birth.
What causes hypospadias?
The causes of hypospadias in most infants are unknown. In most cases, hypospadias is thought to be caused by a combination of genes and other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy.
What does Epispadia mean?
Epispadias is a rare birth defect located at the opening of the urethra. In this condition, the urethra does not develop into a full tube, and the urine exits the body from an abnormal location. The causes of epispadias are unknown. It may be related to improper development of the pubic bone.
What is tip Urethroplasty?
Tubularized Incised Plate (TIP) urethroplasty is a technique for urethral reconstruction of hypospadias although there are some controversies for its use in recurrent cases. The aim of this study was to review the results of TIP technique in various studies and the usage of different flaps for covering the repair site.
Who performs hypospadias repair?
A pediatric urology doctor—a specialist in surgery of the urinary tracts and reproductive organs of children—will do your child’s hypospadias repair. This surgery is done through Children’s Hospital’s Same Day Surgery Center. This surgery takes between 1 to 2 hours.
At what age is hypospadias repair?
Are there any consensus techniques for hypospadias repair?
In trying to describe the reconstructive techniques for hypospadias repair one could state that there are as many techniques and their modifications as there are surgeons who perform hypospadias repair. Therefore, it is impossible to obtain a consensus based on outcomes and provide guidelines.
Which is the best treatment for distal penile hypospadias?
The MAGPI repair is the preferred method in glandular type, whereas the tubularized incised plate (TIP) repair is preferred for other cases of distal hypospadias. [3]
Are there any complications after a MagPi repair?
The reported incidence of complications following MAGPI repair, which required reoperation, ranges from 1.2 to 10%. [6], [7] There was no reoperation in the present study. Meatal regression and stenosis remain commonly cited problems. Meatal regression occurs when the glanduloplasty does not hold.
What are the modifications to The MagPi technique?
Surgical technique was in accordance with the original MAGPI technique with some modifications [Figure 1], including no trimming of the edge of the glans in granduloplasty and incorporation of the collar in the granduloplasty, leading to glans augmentation and taking stay suture over the ventral wall of the urethra with some perimeatal tissue.