Use of the penis’s own tissue for urethral reconstruction in the treatment of complications developing following hypospadias repair

Abstract

The aim of the present study is to evaluate the results of the surgical technique applied in patients who have previously undergone several operations and who develop persistent distal hypospadias. A novel surgical technique was applied to 13 cases of persistent distal hypospadias presenting between November 2012 and January 2019. The mean age of these patients was 12.7 years (the youngest four and the oldest 21). In methodological terms, fistula formation was pre- vented by contracting the suture line inside the glans by means of sutures to an incision made between the glans apex and meatus. Thirteen patients underwent surgery, two of which involved complications developing in our clinic. The oth- er 11 had been referred to our clinic from other centers. The common feature of the complications was that they were at the distal hypospadias level. Two patients had undergone two operations, and 11 more than two. Following our therapeutic technique, complete dehiscence was achieved in one patient (7%), external meatal stenosis was present in one (7%), and preoperatively existing urethral stenosis persisted in two cases. Positive results can be achieved in suit- able cases of persistent distal hypospadias using the recommended technique.

Keywords

• Hypospadias surgery,Dehiscence,Repair,Fistula,Stenosis

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