Correction of hypospadias in tree stages-follow-up examinations.
Seventy-one of 93 patients with hypospadias had a deformity severe enough to justify a three-stage operation. This is described in detail. Exact excision of the chordee is emphasized. The advantage of the three-stage operation is the covering without tension of the newly formed urethra, resulting in a low rate of fistula formation (5.6%). The various types of hypospadias and the operative procedures as well as the complications are described in tabular form. Thirty-eight of the 71 patients were followed up. In 90%, the functional result was satisfactory. The micturating urethrogram showed an irregular urethra in a number of cases, but there was no stasis and no difficulty in micturition. The results are compared with those found in the literature.
D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D010409:Penile Diseases / Q000453:epidemiology; D010413:Penis / Q000002:abnormalities / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012611:Scrotum / Q000002:abnormalities / Q000601:surgery*; D014521:Urethra / Q000002:abnormalities / Q000601:surgery*; D014522:Urethral Diseases / Q000453:epidemiology; D014548:Urinary Fistula / Q000453:epidemiology