Megameatus with intact prepuce (MIP) hypospadias variant applicated tubularized incised plate (TIP) urethroplasty: A rare case report

Bahattin Aydogdu, Mehmet Hanifi Okur, Hikmet Zeytun, Selcuk Otcu


A megameatus with intact prepuce (MIP) is an unusual variant of an anterior hypospadias that accounts for 3% of hypospadias repairs. It is characterized by a widely splayed coronal or subcoronal meatus, a deep glanulargroove, a normally conformed prepuce, and no chordee.In this case, good cosmetic and functional outcomes, such as achievement of a straight urine stream and patient satisfaction, were achieved using the tubularized incised plate (TIP) procedure. However, each case of MIP is unique, and a suitable procedure should be tailored to individual cases.


Megameatus; tubularized incised plate (TIP); urethral reconstruction

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