HYPOSPADIAS REPAIR USING A MODIFICATION OF BECKS OPERATION - FOLLOW-UP

Purpose: We reviewed the results of 64 cases of hypospadias repair usi ng a modified Beck's operation with mobilization of the anterior ureth ra. Materials and Methods: Patient age at correction ranged from 10 mo nths to 12 years (mean 3.83 years). Six patients had undergone previou s surgical treatments. Uroflowmetry and evaluation of the urinary stre am, meatus, glans, shaft and scar formations were used as objective cr iteria, and grading of management and results by parents was considere d subjective criteria. Results: An average of 2.1 years postoperativel y 59 patients were available for this followup study. The urethral mea tus was positioned satisfactorily onto the distal glans in all cases a nd no urethrocutaneous fistulas developed. Meatal stenosis requiring m eatal dilation occurred in 2 boys. In 2 cases a curved glans, and curv ed penis and glans, respectively, were caused by cicatricial tissue, n ecessitating surgical correction. Uroflowmetry was possible in 46 case s (78%). One patient with meatal stenosis had pathological flow values . All other flow rates were within the normal range. In the second cas e of meatal stenosis objective evaluation was impossible. In 55 cases (93%) parents judged management and results as optimal. Conclusions: M obilization of the anterior urethra for correction of distal hypospadi as with or without chordee is highly successful, less extensive, and p rovides an excellent cosmetic and functional result with a minimal ris k of complication. Uroflowmetry is a noninvasive, objective diagnostic tool for evaluating the functional results of hypospadias repair.