One-stage repair of hypospadias--experience with 856 cases.
OBJECTIVE
856 cases of hypospadias, operated over a period of 7 years, using various methods of one-stage repair, are reviewed in order to assess their functional and cosmetic results and their rate of complications.


METHODS
856 boys with an average age of 3.5 years were classified according to the classification proposed by Duckett (anterior, middle and posterior hypospadias). Magpi, Mathieu's (flip-flap technique) and pedicled flaps tubularized or as onlay were utilized, depending upon the severity of the anomaly.


RESULTS
Satisfactory functional and cosmetic results without complications were obtained in 736 cases (85.9%). We had early complications with 72 cases consisting of 64 fistulas (7. 5%) and 8 cases of breakdown (0.93%), and 48 cases of delayed complications consisting of 26 meatal retractions (3.1%) and 22 cases of meatal stenosis (2.5%).
Abu-Arafeh
W
W
Department of Urology, Shaare Zedek Medical Center, Jerusalem, Israel.
Chertin
B
B
Zilberman
M
M
Farkas
A
A
D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000209:etiology; D014548:Urinary Fistula / Q000209:etiology; D013521:Urologic Surgical Procedures, Male / Q000379:methods