A modified onlay island flap vs. Mathieu urethroplasty for XXXX repair: A prospective randomised study.

@entity1 @entity546 @entity2650
OBJECTIVE: To compare the outcome of a modified onlay island flap (MOIF) with that of the Mathieu urethroplasty for @entity2650 repair. @entity1 AND METHODS: In a prospective randomised study, 60 @entity1 with coronal, subcoronal and distal @entity546 , with a urethral plate width of    6  mm, and minimal or no chordee, underwent either MOIF using a midline longitudinal outer preputial skin flap passed ventrally by penile buttonholing through dartos fascia incision, or a Mathieu urethroplasty. Closed envelopes were used for randomly selecting @entity1 for each procedure. The operative duration, complications, cosmetic outcome, urinary stream and relatives' satisfaction were reported for each procedure. RESULTS: Preoperative data ( @entity1 ' age and site of urethral meatus) and operative duration were insignificantly different between the groups (P  =  0.653, 0.786 and 0.710, respectively). There were no intraoperative complications in either group. The duration of follow-up was insignificantly different between the groups. @entity1 treated with the MOIF had a statistically significant lower complication rate (P  =  0.036), and a better cosmetic outcome, urinary stream and relatives' satisfaction (P  <  0.001 for all). CONCLUSIONS: The MOIF urethroplasty seemed to be better than the Mathieu urethroplasty in @entity1 with @entity2650 and narrow urethral plates. Further studies including more @entity1 , and a longer follow-up with an objective evaluation of functional outcome should be encouraged to confirm these early results.
