[Urethroplasty for hypospadias. Complications of one-stage and several-stage operations (author's transl)].
The author, who's considerable personal experience is based on 411 cases of hypospadias in children operated at the Mayo Clinic (Rochester, Minnesota, U.S.A.), emphasizes: 1 The importance of a strict assessment of results, considering not only fistulas and apparent cosmetic results, but also stenoses of urethroplasty, sacculations, meatic stenoses and stricture, and insufficient correction of the penile curve. 2 The capacity to choose, in each particular case, between several procedures. 3 The unquestionable security offered by correction in three separate stages: straightening of the penis, urethroplasty by burrowing in the scrotum then resurfacing. 4 The difficulty of re-operation which leads to 60% of complications and needs several surgical stages. In short, you can't improvise the treatment of hypospadias.
D002648:Child; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D008722:Methods; D010409:Penile Diseases / Q000209:etiology; D011183:Postoperative Complications; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology; D014525:Urethral Stricture / Q000209:etiology; D014548:Urinary Fistula / Q000209:etiology
Uréthroplastie pour hypospadias. Complications des opérations en un temps ou plusieurs temps.