CONCEPTS IN THE SURGICAL TECHNIQUE OF ONE-STAGE HYPOSPADIAS CORRECTION

Objective To report on a single-stage technique for hypospadias repair based on the combination of several features of established methods a nd to emphasize the importance of identifying and excising the chordee that is almost always present in the tissues proximal to the urethral opening to ensure the complete correction of this deformity. Patients and methods Over a 3-year period, 84 boys (age range from 8 months to 14 years) underwent a single-stage repair of proximal hypospadias. Ch ordee was corrected by excising fibrotic tissue representing the atret ic corpus spongiosum proximal to the urethral opening. The neourethra was constructed using the epithelium distal to the urethral opening an d part of the dorsal prepuce. Results Satisfactory results were obtain ed in 79 patients with a single procedure, Only live patients had fist ulae and of these, four were closed successfully during the same hospi tal stay. Conclusion Proximal hypospadias can be corrected using the s ingle-stage technique described, with satisfactory results in most cas es, Fistulae are uncommon and can be closed by a primary procedure per formed in the post-operative period.