SHORT-TERM AND MIDTERM OUTCOME OF DIFFERENT TYPES OF ONE-STAGE HYPOSPADIAS CORRECTIONS

Objective: This study is a retrospective analysis of the outcome of ou r one-stage hypospadias corrections. Patients and Methods: In the peri od from August 1979 to January 1991, 316 boys less than 14 years of ag e underwent a one-stage hypospadias correction in our hospital. For 28 3 patients, data on the familial incidence, associated urological path ology, age at the time of operation, operation technique and follow-up were analyzed. Results: The familial incidence in our study group was 9.4%, associated cryptorchidism was seen in 8.6%, kidney abnormalitie s in 1.8% and urethral valves in 0.4%. The majority (65.3%) of the chi ldren were operated on before the age of 3 years. The operation was pe rformed according to Magpi, Mathieu, Devine-Horton, an onlay, and tube formation according to Duckett and the double-faced island flap proce dure. Including all postoperative disturbances, urethral complications were seen in 18.1% and skin-related complications in 4.6% of the pati ents. Conclusion: Even in experienced hands the overall complication r ate is relatively high, and additional problems can be expected in the future. It is important to provide adequate information on the proced ures and possible complication to the parents. The final long-term out come after puberty has to be awaited.