Ten-year review of hypospadias surgery from a single centre

Abstract

Hypospadias is more common than cleft lip and palate. However, in comparison to the latter, few units have dedicated any team to its correction. Hence, urologists, paediatric surgeons, plastic surgeons, general surgeons and paediatric urologists keep trying various methods of correcting this deformity. That more than 350 procedures have been described for the correction of one anomaly speaks volumes of dissatisfaction with the results. We describe our humble experience with this anomaly over a period of 10 years during which time we were able to treat 1415 cases. However, this paper only describes results of 1206 patients. We use universally only one technique for hypospadias repair and perform this in two stages. This technique has been described by many but lately popularised by Aivar Bracka from UK [Bracka A. A versatile two-stage hypospadias repair. Br J Plast Surg 1995;48:345–52].¹ Our overall fistula rate has been 3.8% though most of the fistulae occurred in the earlier period. Other complications included repeated UTI (3%) and hair growth in the urethra (0.2%).