title: Recent considerations for hypospadias repair: results of 252 operations from 1985 to 1990.
abstract: OBJECTIVE
  252 hypospadias operations were performed at our department from 1985 to 1990. We conducted 173 primary repairs and 79 reoperations. In distal hypospadias (n = 98), we used the meatoplasty and granuloplasty procedure as well as the Mathieu technique. In penile hypospadias (n = 40), a tubularized dorsal preputial flap (Duckett procedure) was performed. Proximal and scrotal hypospadias (n = 23) were operated using a combination of Duckett's tube and the Thiersch-Duplay procedure.
  
  
  RESULTS
  We saw a 15% complication rate in distal hypospadias, 36% in penile hypospadias, and 27% in proximal hypospadias.
  
  
  CONCLUSIONS
  The Mathieu technique gave a complication rate of 35.5% in our hands, and so it was replaced by the island onlay flap technique as described by Duckett.
authors.affiliation: Department of Urology, University of Essen, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Goepel
authors.forename: T
authors.initials: T
authors.lastname: Otto
authors.forename: D
authors.initials: D
authors.lastname: Kröpfl
authors.forename: H
authors.initials: H
authors.lastname: Rübben
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome