One stage repair of hypospadias.
The surgical repair of hypospadias has evolved from the multi-staged procedures of the previous decade to single stage urethroplasty. A number of techniques have been described and this report is a study of the experience in 44 cases using 4 different types of repair. All patients were Chinese and their ages ranged from 1 year to 23 years, with about half the cases below 5 years of age. The most commonly used method of repair was the transverse preputial flap technique of Duckett (25 out of 44 cases). The overall results indicate a fistula rate of 20%. The detail correlation of complications with age, type of hypospadias and type of repair illustrate the general principle that while age is not a significant factor, with the more severe types of hypospadias, the complication rate is definitely increased.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D008722:Methods; D010413:Penis / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods