Correction of hypospadias with a vertical preputial island flap: The Goteborg experience of 47 patients

We report the follow-up of 47 patients with penile hypospadias who were tre ated by the Scuderi procedure between 1988 and 1998 at Sahlgrenska Universi ty Hospital, Goteborg, Sweden. Forty of the patients (85%) had had no previ ous operations, while the remaining seven had had meatotomy with chordectom y only, or an unsuccessful Dennis-Browne procedure. Hypospadias was distal. in 35 (74%), mediopenile in 8 (17%), and proximal in 4 (9%); 21 (45%) show ed signs of curvature. After a Scuderi urethroplasty one patient developed a fistula (2%) and 4 developed mild stenosis. The early success rate was th erefore 42/47 (89%) and this later increased to 46/47 (98%) after non-surgi cal treatment of the stenoses. The results support the use of the Scuderi p rocedure for correction of primary and secondary penile hypospadias with a low complication rate.