Evaluation of cosmetic results in uncomplicated distal hypospadias repairs

M. Castagnetti, M. G. Scarpa, L. Musi, W. Rigamonti

Research output: Contribution to journalArticlepeer-review


Objective. To determine if uncomplicated distal hypospadias repairs after either the tubularized incised-plate or Mathieu urethroplasty can also be considered satisfactory in terms of penile cosmesis. Material and methods. Uncomplicated distal hypospadia repairs underwent a cross-sectional assessment of cosmetic outcome. Cosmetic assessment was performed by an independent physician using a systematic scoring system including 6 items: prepuce configuration, glans shape, meatal shape and position, penile rotation or curvature, and penile skin arrangement. Each item could be scored from 0 (the worst score) to 2 (the best score) for a maximum score of 12. Scores below 9/12 were considered unsatisfactory. Results. Complications occurred in 10 (12%) patients. Out of 73 uncomplicated repairs, 48 (66%) underwent evaluation of cosmetic results. Appearance was satisfactory in 23 (47.9%) cases. A satisfactory outcome was statistically more common after tubularized incised-plate repairs and was mainly due to the presence of a slit-like meatus. The difference between tubularized incised-plate and Mathieu repairs approached statistical significance only in primary repairs. Conclusion. Although both the Mathieu and the tubularized incised-plate technique allow to achieve a distal hypospadias repair with limited morbidity, the assessment of cosmetic results may be difficult. In our experience, cosmetic appearance appeared to be sub-optimal in half of our uncomplicated repairs assessed systematically by an independent observer.

Original languageEnglish
Pages (from-to)121-124
Number of pages4
JournalJournal of Andrological Sciences
Issue number2-3
Publication statusPublished - 2009


  • Child
  • Hypospadias
  • Paediatric urology
  • Penis
  • Urethra
  • Urethroplasty
  • Uroflowmetry

ASJC Scopus subject areas

  • Reproductive Medicine
  • Endocrinology, Diabetes and Metabolism
  • Urology


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