Pediatric Surgery International

, Volume 28, Issue 4, pp 429–433 | Cite as

Outcome of hypospadias repair in toilet-trained children and adolescents

  • Stanislav Kocherov
  • Dan Prat
  • Dmitry Koulikov
  • Alexander Ioscovich
  • Ofer Z. Shenfeld
  • Amicur Farkas
  • Boris Chertin
Original Article

Abstract

Purpose

To review a leading causes and surgical outcome of hypospadias repair in toilet-trained children and adolescents in our department.

Materials and methods

Over the period from 1987 to 2010, 84 toilet-trained children and adolescents with a median age of 13 years (range 4–18) underwent hypospadias repair. Voiding symptoms were a cause for referral in 31(36%) patients, difficulties in self-appraisal or patient desire in 49(55.7%) and 4(4.8%) patients with DSD underwent male genitoplasty as a part of sex reassignment. Of those 43(51.2%) had glanular hypospadias, 36(42.9%) distal and 5(5.9%) had proximal type of hypospadias. Meatoplasty was performed in 18(21.4%) patients, MAGPI in 24(28.6%), Mathieu flip-flap in 20(23.8%), preputial pedicled flap as onlay in 2(2.4%) and as tubularized in 2(2.4%) patients, and TIP procedure was done in 16(19%). Two (2.4%) patients required two stage repair.

Results

Twenty-three (27.4%) developed surgery-related complications such as meatal stenosis in 3(15.5%), breakdown of primary repair in 7(8.3%), and urethral fistula in 13(15.5%) patients, respectively.

Conclusions

There are clear differences in terms of complications rate and overall success compared with the repair in the earlier ages.

Keywords

Hypospadias Toilet-trained children Surgical outcome 

Abbreviations

MAGPI

Meatal advancement glanuloplasty

TIP

Tubularized incised plate hypospadias repair

DSD

Disorders of sex development

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Stanislav Kocherov
    • 1
  • Dan Prat
    • 1
  • Dmitry Koulikov
    • 1
  • Alexander Ioscovich
    • 2
  • Ofer Z. Shenfeld
    • 1
  • Amicur Farkas
    • 1
  • Boris Chertin
    • 1
  1. 1.Department of Pediatric Urology, Faculty of Medical Science, Shaare Zedek Medical CenterHebrew UniversityJerusalemIsrael
  2. 2.Department of Anesthesiology, Faculty of Medical Science, Shaare Zedek Medical CenterHebrew UniversityJerusalemIsrael

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