Surgical treatment options in proximal hypospadias: retrospective analysis of 171 cases at a single institution.
OBJECTIVE
So far, various techniques have been used in the surgical treatment of proximal hypospadias. The aim of all techniques is to form a near to normal penis functionally and cosmetically. In the present study, proximal hypospadias cases operated in our clinic were evaluated.


METHODS
Overall 171 cases with proximal penile, penoscrotal and scrotal meatus, aged between 3 and 28 were included in the study. Early and late postoperative complication rates and factors affecting success were investigated retrospectively.


RESULTS
Sixteen cases underwent Duckett, 20 Onlay, 28 free tube, 56 Belt-Fuqua and 51 Thiersch operations. Success rate at early postoperative period was 60.8%, while it became 81.2% following secondary interventions.


CONCLUSIONS
No effect of operation technique and meatus levels were observed on complication rates whilst previous operation increased complication rates significantly.
Nuhoğlu
Bariş
B
Urology Clinic, Ankara Training and Research Hospital, Ankara, Turkey.
Ayyildiz
Ali
A
Balci
Ugur
U
Ersoy
Erim
E
Gürdal
Mesut
M
Germiyanoglu
Cankon
C
Erol
Demokan
D
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D013521:Urologic Surgical Procedures, Male / Q000379:methods