[Correction of distal hypospadias by urethral meatal advancement neo-urethroplasty-glandoplasty].

Distal hypospadias are the most frequently observed, and represent about 70% of all forms of this condition. In recent years, due to the introduction of simpler procedures which produces better results, the surgical correction of this small defect has been universally accepted. It offers a normal penile appearance and prevents associated psycological effects. In this work we evaluated the surgical correction of distal hypospadias by means of meatal advancement-neouretroplasty-glanuloplasty in two hundred patients. Good cosmetic and functional results were obtained in 86,5 and 97,0% of the cases, respectively. All patients had their urinary stream directed forward. The more important complications verified were neomeatal retraction, urethrocutaneous fistula and neomeatal stenosis in 13.5, 3.0 and 0.5%, respectively. The complications observed did not represent a worsening of the initial condition, and in almost all such cases it was corrected with a complementary procedure on an ambulatory basis or in one day of stay at the hospital, as the previous surgery.