Experiences on the primary distal hypospadias surgery

Abstract

The aim of this study is to contribute better understand and treatment of hypo-spadias by a surgical technique. We applied a surgical technique for primary distal hypospadias, 118 cases in our clinic between 2007 and 2017. The surgical technique for the hypospadias: the first step is that extending the urethra from the proximal to the distal by mean of glandular incision, the second step is taken the incision line under the glans and last one is giving an cosmetic appearance to penis. Glandular opening developed in two (1.6%) of these cases, and urethral fistula in four (3.2%). One of the cases of urethral fistula was accompanied by meatal stenosis; in addition, meatal stenosis was developed in a total of five cas-es and external meatotomy was performed in one of these. The other four cases were corrected with urethral dilation. The technique we apply is quite simple; and can easily be applied in the treatment of all forms of distal hypospadias. It is suggested that it represents a significant therapeutic option in distal hypospadias surgery since, in addition to being easy to perform; it also has low complica-tion rates and provides satisfactory cosmetic and functional outcomes. It is well known that complication rates are declining significantly with advances in ex-isting surgical techniques. We believe on that further development is required in hypospadias surgery getting better results. Applied technique in our clinic might be a surgical option in terms of cosmetic appearance and general complications.

Keywords

• Hypospadias,new technique,complications,outcome assessment,repair

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