ONE-STAGE REPAIR OF HYPOSPADIAS - EXPERIENCE WITH 856 CASES

Objectives: 856 cases of hypospadias, operated over a period of 7 year s, using various methods of one-stage repair, are reviewed in order to assess their functional and cosmetic results and their rate of compli cations. Patients and Methods: 856 boys with an average age of 3.5 yea rs were classified according to the classification proposed by Duckett (anterior, middle and posterior hypospadias). Magpi, Mathieu's (flip- flap technique) and pedicled flaps tubularized or as onlay were utiliz ed, depending upon the severity of the anomaly. Results: Satisfactory functional and cosmetic results without complications were obtained in 736 cases (85.9%). We had early complications with 72 cases consistin g of 64 fistulas (7.5%) and 8 cases of breakdown (0.93%), and 48 cases of delayed complications consisting of 26 meatal retractions (3.1%) a nd 22 cases of meatal stenosis (2.5%).