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Updated: Oct 16, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Surgical treatment of hypospadias. Our experience and follow up in 1993-1998]
J Larrinaga Simon1, F Oliver Llinares, J M Yañez Angulo
1Servicio de Urología, Hospital de Galdakao, Vizcaya, España.
Insights
This study reviews hypospadias surgical outcomes. Using resorbable materials significantly reduced fistula complications from 20% to 5% in pediatric urology patients.
Area of Science:
- Pediatric Urology
- Surgical Outcomes
- Developmental Anomalies
Context:
- Hypospadias is a common congenital condition requiring surgical correction.
- Surgical techniques and materials significantly influence complication rates.
- Understanding these factors is crucial for optimizing patient outcomes.
Purpose:
- To analyze the types of hypospadias and associated complication rates.
- To evaluate the impact of different surgical techniques and materials on outcomes.
- To identify factors contributing to reduced complication rates in hypospadias repair.
Summary:
- A series of 130 pediatric patients with hypospadias underwent surgical correction between 1993 and 1998.
- Common complications included fistula, hematoma, and urethral meatus stricture.
- The study observed a significant decrease in fistula rates from 20% to 5% after adopting monofilament resorbable materials.
Impact:
- The findings suggest that the choice of surgical material can significantly impact complication rates, particularly fistula formation.
- Reduced tissue reactivity to monofilament resorbable materials may be a key factor in lowering fistula incidence.
- This research provides valuable insights for pediatric urologists aiming to improve surgical repair of hypospadias.
Objective:
To review our series of hypospadias. The incidence of the different types of hypospadias and the complication rates according to the different surgical techniques and materials utilized are analyzed.
Methods:
We reviewed our series of 130 patients with hypospadias who underwent surgical correction at the Department of Pediatric Urology from 1993-1998.
Results:
The patients presented the following types of hypospadias: glandular (13 cases), balano-preputial (56), distal penile (42), mid-penile (9), proximal penile (2) and penoscrotal hypospadias (8). The surgical techniques utilized were the Mickulitz meatotomy procedure (6 cases), MAGPI (24), Mathieu (77), Crawford (5), onlay (7), Duckett (3), Retik (4), Duplay (1), Denis-Brown (2) and penoscrotal transposition (1). The complications commonly observed were fistula (20 cases), hematoma (4), stricture of urethral meatus (4), infection (3), megaurethra (3), skin necrosis (1).
Conclusions:
Surgical repair of this developmental anomaly is performed when the patient is approximately 18 months old. In our series 15% of the patients developed fistula, which is similar to the complication rate reported in the literature. However, since we started using monofilament resorbable material, the incidence of fistula has dropped from 20% to approximately 5%. Although other factors are involved, the lower incidence of fistula formation may be largely due to a reduced tissue reaction to foreign body.
