Failed Hypospadias Repair Presenting in Adults

Guido Barbagli, Michele De Angelis, Enzo Palminteri, Massimo Lazzeri

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To evaluate the results of one-stage and multistage urethroplasty in adults with complications following multiple failed hypospadias repairs. Methods: Sixty adults underwent reconstructive surgery of the following complications after hypospadias repair: stricture (34), residual hypospadias (26), fistula (18), meatal stenosis (11), penile curvature (9), hair (4), diverticula (2), and stone (1). A total of 36% of the patients had one complication and 64% had two or more complications. Twenty-nine patients underwent one-stage repair with buccal or skin grafts or direct repair, and 31 underwent multistage repairs with buccal or skin grafts. Results: Mean follow-up was 33.8 mo. Of the 60 cases, 45 (75%) had a final successful outcome and 15 (25%) failed. One-stage repair provided 24 (82.7%) successes and 5 (17.3%) failures. Multistage repair provided 21 (67.7%) successes and 10 (32.3%) failures. Buccal mucosa grafts provided 81% of success in one-stage procedures and 82.3% in multistage procedures. Penile skin grafts provided 80% of success in one-stage procedures and 50% in multistage procedures. Conclusions: Adults with complications following childhood hypospadias repair are still a difficult population to treat with a high failure rate for reoperative surgery.

Original languageEnglish
Pages (from-to)887-895
Number of pages9
JournalEuropean Urology
Volume49
Issue number5
DOIs
Publication statusPublished - May 2006

Keywords

  • Buccal mucosa
  • Flap
  • Graft
  • Hypospadias
  • Urethroplasty

ASJC Scopus subject areas

  • Urology

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