Modified Barcat balanic groove technique for hypospadias repair: Experience with 295 cases

Purpose: We reviewed the results of a large series of hypospadias repairs (311) using the modified Barcat balanic groove technique. Materials and Methods: All patients who underwent modified Barcat repair with closure of the divergent corpus spongiosum were included in our study and were seen or contacted for postoperative followup. Results: Of 295 patients available for followup 94% had excellent cosmetic results. The fistula rate after primary repair was 5% for a glanular or coronal meatus and 18% for a penile meatus, and meatal stenosis was rare. After secondary repair complications were common in patients with a penile meatus. Conclusions: The Barcat technique allows anatomically superior glans reconstruction in distal hypospadias repair. Fistula rates can be reduced by tissue coverage of the neourethra.