PURPOSE:To review a leading causes and surgical outcome of hypospadias repair in toilet-trained children and adolescents in our department.
MATERIALS AND METHODS:Over the period from 1987 to 2010, 84 toilet-trained children and adolescents with a median age of 13 years (range 4-18) underwent hypospadias repair. Voiding symptoms were a cause for referral in 31(36%) patients, difficulties in self-appraisal or patient desire in 49(55.7%) and 4(4.8%) patients with DSD underwent male genitoplasty as a part of sex reassignment. Of those 43(51.2%) had glanular hypospadias, 36(42.9%) distal and 5(5.9%) had proximal type of hypospadias. Meatoplasty was performed in 18(21.4%) patients, MAGPI in 24(28.6%), Mathieu flip-flap in 20(23.8%), preputial pedicled flap as onlay in 2(2.4%) and as tubularized in 2(2.4%) patients, and TIP procedure was done in 16(19%). Two (2.4%) patients required two stage repair.
RESULTS:Twenty-three (27.4%) developed surgery-related complications such as meatal stenosis in 3(15.5%), breakdown of primary repair in 7(8.3%), and urethral fistula in 13(15.5%) patients, respectively.
CONCLUSIONS: There are clear differences in terms of complications rate and overall success compared with the repair in the earlier ages.
Written by:
Kocherov S, Prat D, Koulikov D, Ioscovich A, Shenfeld OZ, Farkas A, Chertin B. Are you the author?
Department of Pediatric Urology, Faculty of Medical Science, Shaare Zedek Medical Center, Hebrew University, 91031, P.O.B. 3235, Jerusalem, Israel.
Reference: Pediatr Surg Int. 2012 Apr;28(4):429-33.
doi: 10.1007/s00383-012-3061-2
PubMed Abstract
PMID: 22331204