[Surgery of hypospadias complications]

The very large number of surgical techniques described and the inadequate long-term results published for each of them illustrate the difficulty of objective evaluation of hypospadias surgery [9]. Although the majority of surgeons define a satisfactory result as a straight penis without excess skin, regular scars, an apical urethral meatus with a "good" urinary stream, evaluation of these criteria remains very subjective due to the lack of precise, reliable, and standardized methods. The surgeon's criteria of success of this surgery differ significantly from the patient satisfaction criteria [53]. The complication rate reported in the literature therefore varies from 5% to 70% depending on the technique used and the surgeon's honesty.