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Subject Area

Urology

Article Type

Original Study

Abstract

Objective To evaluate pediatric patients with anterior hypospadias without chordee who were planned for surgical repair. Background Failed hypospadias repair refers to any hypospadias repair associated with complications or causes patient dissatisfaction. It includes meatal stenosis, fistula, urethral stricture, and glans dehiscence. Patients and methods The study included 150 failed distal hypospadias repair patients. Patients were divided into two groups: previously failed hypospadias group (100 patients who were previously repaired (only one attempt of surgical repair) from June 2004 to October 2014) and de novo hypospadias group (50 patients). Their age ranged from 9 months to 6 years. Tubularized incised plate repair was applied for 87 cases, Mathieu technique for 20 cases, onlay technique for 13 cases, and meatal advancement and glanduloplasty incision for 30 cases. All 150 patients had undergone repair from October 2014 to October 2017 and were followed up for immediate and delayed complications. Results The incidences of meatal stenosis, fistula, neourethral stricture, and glanular dehiscence were 68, 50, 20, and 0%, respectively, in the previously failed hypospadias group compared with 82, 20, 16, and 16%, respectively, in the de novo hypospadias group. Our overall results showed that 87% of cases with shallow glanular groove had meatal stenosis, 51.3% of cases had neourethral stricture, 38.5% had fistula, and 15.4% had dehiscence. Conclusion The study showed a correlation between the glanular groove and the outcome of hypospadias repair, as the deeper the glanular groove, the lowest incidence of failed hypospadias repair.

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