RESULTS OF ONE-STAGE HYPOSPADIAS REPAIR

Abstract

We reviewed 17 patients who had first undergone one-stage hypospadias repair. According to the criteria proposed by Keating and Duckett, the operative procedure performed was the MAGPI procedure in 2 patients, the pyramid procedure in 2, the Mathieu procedure in 1, the onlay island flap procedure in 6, the transverse preputial island flap and glans channel procedure (Duckett) in 4 and a combined method using the buccal and bladder mucosa graft in 2. The age of the patients ranged from 11 months to 22 years (median age 3.2 years). Postoperative follow-up ranged from 3 to 30 months (mean 7 months). Postoperative complications requiring revision occurred in 4 patients; urethrocutaneous fistula developed in 1 patient with the onlay island flap, urethral strcuture at the anastomosis and meatus in 1 patient with the transverse preputial island flap, meatal retraction in 1 patient with the mucosal graft, and urethral stricture at the distal anastomosis and bladder stone in the other patient with the mucosal graft. These complications were successfully revised by simple operations. Ventral skin tethering caused by scar contracture developed in 2 patients with the preputial island flap, and spontaneously improved with time in 1 patient. These results indicate that the criteria proposed by Keating and Duckett is proper to select an operative procedure for hypospadias.