[Spongioplasty in the treatment of hypospadias].
OBJECTIVE
Hypospadias is a frequent anomaly, for which many repair techniques have been proposed. In 2000, we described a method of one-stage anatomical correction, called spongioplasty. The present study evaluated the functional and cosmetic results of this technique.


METHODS
154 patients treated by this technique over a 10-year period were reviewed. All complications reported were compared according to the anatomical form, age at the time of surgery, and year of operation.


RESULTS
We demonstrate a learning curve lasting about 6 years, after which the complication rate of this technique becomes lower than that associated with other methods, particularly for distal forms. In our experience, this complication rate is lower for an operative age between 5 and 8 months.


CONCLUSIONS
In the light of these results, this type of surgery can be proposed at an earlier age than other techniques.
Delaage
Pierre-Henri
PH
Département de Chirurgie pédiatrique, Groupe Hospitalier Cochin-Saint Vincent de Paul, Paris, France.
Bargy
Frédéric
F
Beaudoin
Sylvie
S
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D013521:Urologic Surgical Procedures, Male / Q000379:methods