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 percent had excellent cosmetic results. The fistula rate after primary repair was 5 percent for a glanular or coronal meatus and 18 percent 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.