[A ten-year retrospective study of patients operated for hypospadias].
BACKGROUND
Retrospectively we evaluated the surgical treatment of all primary operations for hypospadias performed at the Department of Plastic- and Reconstructive Surgery, Herlev University Hospital, over a period of ten years. During this time we changed the concept of surgical procedure from various two-stage techniques to a new one-stage modification (Scuderi's vascularised vertical preputial island flap combined with a triangular flap glanuloplasty and other refinements). Secondly, we evaluated the pre- and postoperative examination.


METHODS
During the period 1993-2003, 96 patients were primarily operated. The new one-stage technique was used in 58 patients, all performed by the same surgeon. The standardised follow-up time was three months.


RESULTS
Complications consisted of five urethrocutaneous fistulas (8.6%) and four meatal stenosis (6.7%), and the functional and cosmetic short-term outcome was satisfactory using the new one-stage procedure. The number of operations per patient was reduced from 4.57 to 1.26. We found the pre- and postoperative examination inadequate concerning classification of hypospadias type and possible associated malformations (cryptorchidism).


CONCLUSIONS
The short-term functional and cosmetic outcome of the new one-stage technique was satisfactory. The complication rate was low. However, the study was associated with severe methodological problems. On this background we suggest a national standardised registration of all boys operated for hypospadias.
Asklund
Camilla
C
Herlev Hospital, Plastikkirurgisk Afdeling V. camilla.asklund@rh.dk
Kirkby
Bent
B
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D010413:Penis / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D013524:Surgical Flaps; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*