[Medium and long-term evaluation of spongioplasty in hypospadias repair].
BACKGROUND
Spongioplasty for the treatment of hypospadias consists of tubulization urethroplasty combined with dissection and midline approximation of the two divergent hemicorpora spongiosa. The objective of this study was to evaluate the medium-term and long-term cosmetic and functional results, and satisfaction of patients operated by this technique.


METHODS
Fifty spongiopasties were performed by the same surgeon between 1990 and 1996. Foreskin reconstruction was performed in 40 patients. 48 patients were reviewed between 2002 and 2003.


RESULTS
The immediate results revealed fistula in 8% of cases, meatal stricture in 4% of cases, and foreskin complications in 14% of cases. The long-term results showed persistence of an unsightly operative scar in 8% of cases, residual chordee in 6% of cases, meatal retraction in 8% of cases, and persistent partial stricture in 4% of cases. 92% of patients declared that they were satisfied with the results of surgery.


CONCLUSIONS
The immediate results of spongioplasty are similar to those obtained by other techniques and long-term follow-up shows maintenance of the cosmetic and functional results.
Mezzine
Samia
S
Département de Chirurgie Pédiatrique, Groupe Hospitalier Cochin-Saint Vincent de Paul, Paris, France.
Beaudoin
Sylvie
S
Bargy
Frédéric
F
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010413:Penis / Q000601:surgery*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*