THE SELECTIVE USE OF A SINGLE-STAGE AND A 2-STAGE TECHNIQUE FOR HYPOSPADIAS CORRECTION IN 157 CONSECUTIVE CASES WITH THE AIM OF NORMAL APPEARANCE AND FUNCTION

This paper establishes the aim of normal function and appearance in hy pospadias surgery. In order to meet this aim we have used a combinatio n of a single-stage and a two-stage repair, both incorporating foreski n reconstruction. The technique of single-stage repair is illustrated using operative photographs. Our experience with 157 repairs in a 3-ye ar period is described. Thirty-five single-stage repairs were complete d with no complications; 122 two-stage repairs were carried out, in wh ich a 5% fistula rate was achieved in primary cases. Salvage reconstru ction had a higher incidence of complications.