Hypospadias in adults

Introduction: In order to evaluate the long-term results and complications, the authors reviewed the files of 14 adult patients operated for the first time for hypospadias. Material and Methods: This study was based on retrospective analysis of the files of 15 adults between the ages of 17 and 36 years operated for hyposp adias between 1989 and 1999. The findings of the first visit concerned the site of the urethral meatus, the presence and severity of chordee and the p rimary and secondary sexual characteristics. Urine culture was performed in all patients. Results: The follow-up was 12 months to 8 years. Six of the 15 patients wer e treated by urethroplasty alone and 9 patients underwent urethroplasty wit h correction of chordee. 40% of patients (3 cases of anterior hypospadias, 2 cases of midpenile hypospadias and 1 vulviform hypospadias) obtained a go od long-term result. In the case of complications (fistula, stenosis or dis tal necrosis of the tube), a single reoperation allowed good results to be achieved in 80% of the series. Conclusion: The results of treatment of hypospadias in adult patients diffe r from those obtained in children despite the use of similar surgical techn iques.