Application of Horton-Devine principles to the repair of hypospadias.
We describe the results and complications of the Horton and Devine techniques for repairing hypospadias in 140 children. The V-shaped glandar flap plasty was done in all patients, either as part of a 1-stage operation in some or as the final step in a staged procedure in others. The principles of Horton and Devine were found useful not only in primary repairs but also in achieving a satisfactory result in secondary and complicated cases. Urethrocutaneous fistula was the most common complication. With an average of 1.5 operations per patient the functional and cosmetic results have been excellent.
D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery; D014522:Urethral Diseases / Q000209:etiology; D014547:Urinary Diversion / Q000379:methods; D014548:Urinary Fistula / Q000209:etiology