Circumcised hypospadias.
OBJECTIVE
Patients with circumcised hypospadias have been of significant concern over many decades due to the belief that prior circumcision might negatively affect the results of hypospadias' repair. We evaluated outcomes in consecutive males with anterior, distal penile, and the megameatus with intact prepuce variant of hypospadias (MIP).


METHODS
After IRB approval a retrospective of 48 consecutive males with circumcised hypospadias was reviewed. In all cases the urethroplasty was accomplished with either urethral plate tubularization or a MAGPI procedure. No skin flaps were used.


RESULTS
A total of 48 patients with circumcised hypospadias (anterior, MIP variant, and distal penile) underwent operative reconstruction by one of us (RVP). All patients were followed for at least 8 months.


CONCLUSIONS
Prior circumcision did not negatively affect the results of subsequent urethroplasty in patients with anterior, distal penile, and the MIP variant of hypospadias. The use of the tubularized incised plate urethroplasty (TIP) has virtually eliminated the need for skin flaps in anterior hypospadias repair.
Department of Pediatric Surgery, Section of Urology, Massachusetts General Hospital for Children, Boston, MA, USA. rpieretti@partners.org
Rafael V
RV
Pieretti
Alberto
A
Pieretti
Rafael
R
Pieretti-Vanmarcke
D002675:Child, Preschool; D002944:Circumcision, Male; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D010290:Parents; D017060:Patient Satisfaction; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods