One-stage hypospadias repair: experience of 367 cases.
Over a 6 1/2-year period we performed 374 primary hypospadias repairs, all but 7 as single-stage procedures. We usually employed the MAGPI, tubed preputial island flap and Mathieu reconstructions. Complications were comparatively few, with an overall incidence of 5% fistulae, 3% anastomotic strictures and 7% meatal retraction or stenosis. The cosmetic results were superior to those of staged procedures in that it was almost always possible to obtain a glanular meatus which was both terminal and realistic.
Rickwood
A M
AM
Department of Paediatric Urology, Royal Liverpool Children's Hospital, Alder Hey.
Anderson
P A
PA
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery; D014546:Urinary Catheterization