Objectives: To evaluate the results and complications after combined use of Mathieu and incised plate technique for management of distal hypospadias.

Patients and methods: A total of 30 patients with primary distal penile hypospadias were operated upon using the Mathieu technique combined with deep urethral plate incision (Snodgrass technique). Each patient
was evaluated according to the site of original urethral opening, original urethral stenosis, the presence and degree of chordee. The operative and postoperative results and complications were reported. Follow up of
the patients was done weekly for 3 weeks postoperatively and then every month for at least 1 year.

Results: The mean age was 4.25±1.54 years (range 1.5 – 8years). Bleeding was reported in four cases. Wound infection was reported in one case. Meatal stenosis occurred in one case and urethrocutaneous fistula occurred in one case. No urethral stenosis was reported in any of the patients.

Conclusion: Combined use of Mathieu and incised plate technique is suitable for primary distal hypospadias especially with original meatal stenosis.