A ten-year retrospective study of patients operated for hypospadias
Asklund, C.; Kirkby, B.
Ugeskrift for Laeger 169(4): 319-322
2007
ISSN/ISBN: 0041-5782 PMID: 17274928 Document Number: 607242
Retrospectively we evaluated the surgical treatment of all primary operations for hypospadias performed at the Department of Plastic- and Reconstructive Surgery, Herlev University Hospital, over a period of ten years. During this time we changed the concept of surgical procedure from various two-stage techniques to a new one-stage modification (Scuderi's vascularised vertical preputial island flap combined with a triangular flap glanuloplasty and other refinements). Secondly, we evaluated the pre- and postoperative examination. During the period 1993-2003, 96 patients were primarily operated. The new one-stage technique was used in 58 patients, all performed by the same surgeon. The standardised follow-up time was three months. Complications consisted of five urethrocutaneous fistulas (8.6%) and four meatal stenosis (6.7%), and the functional and cosmetic short-term outcome was satisfactory using the new one-stage procedure. The number of operations per patient was reduced from 4.57 to 1.26. We found the pre- and postoperative examination inadequate concerning classification of hypospadias type and possible associated malformations (cryptorchidism). The short-term functional and cosmetic outcome of the new one-stage technique was satisfactory. The complication rate was low. However, the study was associated with severe methodological problems. On this background we suggest a national standardised registration of all boys operated for hypospadias.