Duration of follow-up to diagnose hypospadias urethroplasty complications.
OBJECTIVE
We report the time when hypospadias urethroplasty complications (UC) were diagnosed postoperatively.


METHODS
The time UC occurred after primary distal and proximal TIP and TIP reoperations was obtained from prospectively maintained databases in consecutive patients. UC included fistulas, glans dehiscences, meatal stenoses, neourethral strictures and diverticula.


RESULTS
Of 125 UC, 64% were diagnosed at the first postoperative visit and 81% were encountered within the first year after repair. Median time for diagnosis was 6 months (1.5-95) for fistulas, meatal stenoses/urethra strictures, and diverticulum, versus 2 months (1 week-24 months) for glans dehiscence.


CONCLUSIONS
The majority of UC are diagnosed at the first postoperative visit or within the first year following TIP hypospadias repair. Glans dehiscences are most often apparent by 2 months, whereas most fistulas and other UC are found by 6 months. After 1 year, 14 boys without UC have to be followed indefinitely to diagnose each additional complication.
Department of Urology, Division of Pediatric Urology, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, TX, USA.
Warren
W
Snodgrass
Division of Urology, Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
Carlos
C
Villanueva
Department of Urology, Division of Pediatric Urology, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, TX, USA. Electronic address: http://nicol.bush@childrens.com.
Nicol C
NC
Bush
D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000175:diagnosis / Q000601:surgery*; D053208:Kaplan-Meier Estimate; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013529:Surgical Wound Dehiscence / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects* / Q000379:methods
Fistula; Glans dehiscence; Hypospadias surgery; Meatal stenosis; TIP; Uethroplasty complication