Technique de Mathieu modifiee pour hypospadias avec chordee moderee

A modified Mathieu technique for hypospadias with moderate chordee is presented. The modifications consist of a skin flap with a large pedicle derived from the dartos fascia, correction of the chordee by resection of the fibrous tissue and dorsal plication of the tunica albuginea and possible reconstruction of the prepuce. Defects of up to 2.5 cm long can be corrected with this modified technique. Seventy six children were operated according to this technique, with a follow-up of more than 24 months in 20 cases. The complications observed in these 20 patients were one fistula, two meatal strictures and one total loss of the skin flap due to infection.