In 1992 a retrospective review was conducted of 190 patients evaluated
and treated for complications of hypospadias surgery during 1979 thro
ugh 1990 at the Devine Center for Genitourinary Reconstructive Surgery
of Sentara Norfolk General Hospital and Children's Hospital of the Ki
ng's Daughters. We could not contact 13 patients and 8 are awaiting a
second stage procedure. Of the 177 patients 167 (94.35%) have had a su
ccessful outcome, defined as a controllable urinary stream, functional
erection and an acceptable cosmetic appearance, and 2 (1.13%) are con
sidered failures. Details of presenting problems, surgical techniques
and recent modifications of these procedures are presented.