Aseel's Technique for Distal Penile and Coronal Hypospadius Repair (Simple, Easy with Less Complications) Mohamed A.A.Ismail Urology department - Theodore.

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Aseel's Technique for Distal Penile and Coronal Hypospadius Repair (Simple, Easy with Less Complications) Mohamed A.A.Ismail Urology department - Theodore Bilharz Research Institute Jiza, Egypt ions INTRODUCTION SUMMARY / CONCLUSION RESULTS This technique is modification of the old operation of Arab that makes it very simple, easy to learn and even in cases of failure there will be no problem of redoing it or other operation because of the minimal tissue dissection This is a very easy technique that can be applied as an outpatient or day case, and done In 10 minutes, with no Catheter or stent per urethra left or complications such as urethral meatus stenosis or fistula formation.   AIM Fig.3 Fig.1 Fig.2 Our aim is to add a new simple easy to learn technique to the already present armantorium of operations that deals with distal penile and coronal hypospadi . ACKNOWLEDGEMENTS EXAMPLE To prof. emirates , Dr Ahmed Aziz for his support,giudance and sincere encouragement. MATERIAL & METHODS This technique was applied in 43 patients. First a transverse ventral incision is done parallel to the circumsion incision and 1cm proximal to the urethral meatus, Figure (1) Then proximal and distal skin dissection is done, Figure (2)    A longitudinal incision across the urethra plate extending through the meatus is done, Figure (2) and closed transversely that leads to urethral advancement, Figure (3) Then aided by 2 skin hooks the distal skin edge is pulled downwards to create a roof for the advanced urethra, Figure (4) followed by closure of the skin incision, no catheter or stent is left. Figure(5) This is a 10-minute operation and the patient is discharged as a day case.   Fig.4 Fig.5 : Results Thirty-eight patients passed without complications and 5 had loss of the skin stitches either partial in 3 cases or complete in 2 cases that were repaired by reapplication of the stitches, no meatal stenosis or fistula were reported. REFERENCES Contact information (Insert your logos here) Urology dept.,Theodore Bilharz research institute PO box 30 Embaba Jiza, Egypt mazenmera011012@gmail.com