Clinical Observation on 52 Cases with Failed Hypospadias Repair

Kim, Hyun Chul; Choi, Hyung Ki

Abstract

A clinical observation, giving the first consideration to the complications after repair, was made on 52 hypospadias of the in-patients in the Department of Urology, Yonsei University Hospital during the period Jan. 1972 through Dec. 1981 and the following results were obtained. 1. Of 52 straightenings, 40 cases (91%) were succeed by Duplay's method and 8 cases (100%) were succeed by Nesbit's method. 2. Success rate of 52 urethroplasties was 53.8%. Among them 4 cases by Thiersch-Duplay, 22 cases by Ikoma, 2 cases by Cecil and Denis-Brown's method respectively. 3. The penile type showed best success rate of 66.6%. 4. Urinary fistula complicated the urethroplasty in 22 cases (42.3%). 5. Most of the fistulae developed in original meatus (81.8%). 6. Urethral stricture complicated the urethroplasty in 5 cases (9.6%), 3 of them combined with fistula.