Five years' experience with hypospadias

Abstract

We evaluated 121 hypospadias which have been treated between 1986 and 1991 at Dicle University Hospital, Department of Pediatric Surgery. Patients presented with glandular (22), coronal (29), distal penile (27), midpenile (19), proximal penile (9), penoscrotal (11), perineal (2) and chordee without hypospadias (2). The MAGPI and urethral elongation for glandular and coronal, Mathieu and Horton Devine's flip-flap for distal penile, Hodgson 1 and transverse island flap for midpenile, Byar's modification of buried skin tube for penoscrotal and perineal types were the most common procedures. The complications were fistula formation (14.4%), urethral stenosis (8.0%), flap necrosis (1.6%) and loss of neourethral (1.6%). Our inclinations have been changing towards single stage repairs during the last three years. Better results can be achieved by using meticulous surgery, fine suture materials and proper dressing.