Outcome of new surgical techniques in hypospadia repair.
OBJECTIVE
Retrospectively we evaluated the outcome of all primary hypospadia operations done at Skejby Sygehus, Aarhus University Hospital, in the period May 1999 to March 2001. In that period the concept of treating hypospadias was changed from mainly the Mathiau operation and the preputial skin tube (Duckett) to the method of Barcat (and Koyanagi).


METHODS
During the study period 101 boys consecutively underwent treatment of hypospadias using mainly the techniques of Koyanagi, Barcat and the Glanular Approximation Procedure (GAP).


RESULTS
Cosmetic and functional outcome were excellent. Complications consisted of 12% urethrocutaneous fistula of which the majorities were seen in the first year after taken up the new techniques. There were 3% meatal stenosis and no urethral diverticula.


CONCLUSIONS
The short-term results of the new techniques are superior in cosmetic and functional outcome. The fistula rate was a little high in the start of the period after introducing the new techniques but have fallen to a level comparable to other centres results. The level of fistula is comparable to other centres results.
Department of Urology, Aarhus University Hospital, Skejby Sygehus, Brendstrupgaardsvej, DK 08200 Aarhus N, Denmark.
Bettina
B
Jorgensen
Troels M
TM
Jorgensen
Lars Henning
LH
Olsen
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000145:classification / Q000601:surgery*; D007223:Infant; D008297:Male; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods*