GRAP repair: single-stage reconstruction of hypospadias as an out-patient procedure.
A novel repair of the distal urethra with glanular and preputial reconstruction is described for distal penile hypospadias; 52 consecutive patients underwent this procedure without catheter splintage or urinary diversion. All voided without problems on the day of operation; 44 (85%) were treated as day cases, while the remaining 8 boys stayed in hospital for at least 1 night post-operatively for reasons not associated with the operation. Follow-up was complete and ranged from 15 to 30 months (mean 18). There was no evidence of meatal stenosis, phimosis or urethral stricture; 26 boys (50%) had associated chordee pre-operatively which was incompletely corrected in 2 (8%). These have a minor degree of chordee of glans on penile shaft and neither has required further treatment. Four boys (8%) developed partial wound breakdown which necessitated reconstruction in 2 and both of these have now been treated successfully. Functional and cosmetic results are excellent.
Gilpin
D
D
Northern Ireland Paediatric Surgical Service, Belfast.
Clements
W D
WD
Boston
V E
VE
D000556:Ambulatory Surgical Procedures; D002648:Child; D002675:Child, Preschool; D003631:Day Care, Medical; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D007902:Length of Stay; D008297:Male; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012086:Reoperation; D014521:Urethra / Q000601:surgery*