26ku02 10.3205/26ku02 urn:nbn:de:0183-26ku023 Meeting Abstract Özbey Özbey Hüseyin H

Art Hypospadias, Tunaboylu sok 17/3 Bakırköy, 34147 Istanbul, TurkeyArt Hypospadias, Istanbul, Turkey

hozbey@istanbul.edu.tr author German Medical Science GMS Publishing House

Düsseldorf

610 20260121 engl This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). M0640 02 Jahrestagung Kinderurologie 2026 Semi-Live-OPs Mainz 20260116 20260117 02 TextAim of the study: We have previously described the anatomical details of the normal penis using magnetic resonance imaging. The fibroelastic "septum glandis" covers the fossa navicularis and, together with the frenulum, forms the ventral wall of the glanular urethra. Megameatus-intact prepuce (MIP) is a form of hypospadias characterized by a well-configured glans penis and fossa navicularis, but the absence of the ventral wall of the glanular urethra. The reconstruction of the MIP is demonstrated in a video presentation. Method: The reconstruction of the MIP in a 2-year-old boy was performed using the Glanular-Frenular Collar (GFC) technique. This video presentation shows how the septum and frenulum are surgically formed between the wings of the glans as the ventral wall of the glanular urethra, as is the case in normal anatomy.Results: A slit-shaped meatus and a septum with frenulum between the glans wings were created without complications. The patient urinates straight and with a wave-like shape urine stream, as in normal urination. The three-year follow-up was unremarkable.Conclusions: Contrary to common practice in hypospadias reconstruction, the wings of the glans do not fuse at the ventral midline in normal anatomy. For a functional hypospadias correction, the septum between the glans wings and its epithelial covering (frenulum) must be reconstructed. Patients with MIP-type hypospadias are the best candidates for this type of repair. Özbey H The mystery of Jacob Henle’s “septum glandis” 2019 Journal of Anatomy 728-729 Özbey H. The mystery of Jacob Henle’s “septum glandis”. Journal of Anatomy. 2019;234:728-729. Özbey H Devecioğlu D Staroverov O A closer look at iatrogenic hypospadias 2020 Andrologia e13803 Özbey H, Devecioğlu D, Staroverov O. A closer look at iatrogenic hypospadias. Andrologia. 2020;53:e13803. Özbey H The facts and misconceptions in hypospadias surgery 2020 J Pediatr Urol 408-409 Özbey H. The facts and misconceptions in hypospadias surgery. J Pediatr Urol. 2020;16:408-409. Özbey H Providing a fossa navicularis in reconstruction of hypospadias 2021 Urology 267-268 Özbey H. Providing a fossa navicularis in reconstruction of hypospadias. Urology. 2021;149:267-268. 0 0 0 0