Journal article
Treatment of Adults with Complications from Previous Hypospadias Surgery
The Journal of urology, Vol.188(2), pp.459-463
08/01/2012
DOI: 10.1016/j.juro.2012.04.007
PMCID: PMC3565605
PMID: 22698621
Abstract
Purpose: Adults with complications from previous hypospadias surgery experience various problems, including urethral stricture, persistent hypospadias and urethrocutaneous fistula. Innate deficiencies of the corpus spongiosum and multiple failed operations makes further management challenging.
Materials and Methods: We reviewed our prospective urethroplasty database of men who presented with complications of previous hypospadias surgery. Patients were included in study if they had greater than 6 months of followup. Our surgical management was defined as an initial success if there were no urethral complications. The overall success rate included men with the same result after additional treatment.
Results: A total of 50 men had followup greater than 6 months (median 89) and were included in study. These 50 patients presented with urethral stricture (36), urethrocutaneous fistula (12), persistent hypospadias (7), hair in the urethra (6) and severe penile chordee (7). Patients underwent a total of 74 urethroplasties, including stage 1 urethroplasty in 19, a penile skin flap in 11, stage 2 urethroplasty in 11, urethrocutaneous fistula closure in 9, permanent perineal urethrostomy in 6, excision and primary anastomosis in 6, a 1-stage buccal mucosa onlay in 4, tubularized plate urethroplasty in 3, combined techniques in 3 and chordee correction in 1. In 25 men (50%) treatment was initially successfully. Of the 25 men in whom surgery failed 18 underwent additional procedures, including 13 who were ultimately treated successfully for an overall 76% success rate (38 of 50).
Conclusions: Managing problems from previous hypospadias surgery is difficult with a high initial failure rate. Additional procedures are commonly needed.
Details
- Title: Subtitle
- Treatment of Adults with Complications from Previous Hypospadias Surgery
- Creators
- Jeremy B. Myers - University of California, San FranciscoJack W. McAninch - University of California, San FranciscoBradley A. Erickson - University of California, San FranciscoBenjamin N. Breyer - University of California, San Francisco
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.188(2), pp.459-463
- Publisher
- Elsevier
- DOI
- 10.1016/j.juro.2012.04.007
- PMID
- 22698621
- PMCID
- PMC3565605
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Number of pages
- 5
- Grant note
- K12 DK083021 / NIDDK NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) K12DK083021 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
- Language
- English
- Date published
- 08/01/2012
- Academic Unit
- Urology
- Record Identifier
- 9984319980902771
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