Analysis of complications after repair of hypospadias

Research output: Contribution to journalArticle

Abstract

We have reviewed 184 patients after repair of primary hypospadias. They were operated on and followed-up according to a standard protocol, and the senior author (HS) participated in all operations. The patients were reconstructed using a Byars two-stage procedure ( n = 102) or a Scuderi ( n = 29) or Mathieu ( n = 41) single-stage procedure. The rest ( n = 12) just had a removal of the chordee with realignment of the skin. Complications recorded were haematomas, postoperative infections, malfunction of catheter, urinary retention, fistulas, and strictures. Thirty-eight complications developed in 26 patients and the overall incidence of fistula was 22 in 18 patients (10%). Our findings suggest that the most decisive risk factor for complications is the severity of the primary malformation, because a severe malformation per se is difficult to treat as it requires a long reconstruction; in addition the curvature, shortage of tissue, and extensive surgery generally require a staged reconstruction in these cases. Other factors seem to be of much lesser importance.

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Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Surgery

Keywords

  • long-term follow-up, complication, chordee, hypospadias, urethroplasty
Original languageEnglish
Pages (from-to)120-124
JournalScandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Volume41
Issue number3
Publication statusPublished - 2007
Publication categoryResearch
Peer-reviewedYes