A STUDY OF LATE COMPLICATIONS OF HYPOSPADIAS REPAIR SEEN IN ADULTS.

Volume : VII, Issue : IV, April - 2018

Dr. Ashish Tawde, Dr. Hemant Mhatre

This study aims to describe the adult patients who have had a previous repair of hypospadias during childhood and

have presented with a late complication.

Methods

This study was conducted in a tertiary hospital in central India. A total of patients aged 15–39 years old with a history of hypospadias repair

who presented to our clinic were studied. Forty-􀃶ve patients with chordee, 39 with urethral strictures, 11 urethral 􀃶stulae, 􀃶ve with hairy

urethras, three with urethral diverticula, and 117 patients with an abnormal glans or subterminal meatus were repaired.

Results

Median follow-up was 14 months. Two patients had persistent chordee. Island skin 􀃸ap urethroplasty afforded one patient with a urethral

􀃶stula and another with a recurrent urethral stricture, while the buccal mucosa group had one 􀃶stula which healed spontaneously and two

recurrent strictures. For the patients undergoing glanular repairs, seven had dehiscence or eakdown of the repair. All other operations

were successful.