Hypospadias surgery: a 10-year review.

Area of Science:

• Pediatric Urology
• Surgical Outcomes
• Hypospadias Repair

Background:

• Hypospadias surgery is a complex pediatric urology procedure with evolving techniques.
• Past surgical methods often resulted in high complication rates and unsatisfactory functional or aesthetic outcomes.
• Continuous patient follow-up is essential for evaluating surgical technique efficacy.

Purpose of the Study:

• To evaluate the outcomes of hypospadias surgery performed by a single experienced surgeon over a decade.
• To identify factors influencing complication rates and long-term results in pediatric hypospadias repair.
• To determine the optimal age and surgical approach for hypospadias correction.

Main Methods:

• Retrospective analysis of 693 pediatric patients undergoing hypospadias surgery over 10 years.
• Minimum 12-month follow-up for all patients, with specific attention to complications and sexual outcomes.
• Data collected on complication types, patient age at surgery, hospitalization type, and defect severity.

Main Results:

• Overall complication rate was 6.49%, with urethral fistula being the most common (62% of complications).
• Higher complication rates were observed in patients older than 12 months (18.7%) and those operated on during puberty (15%).
• Surgeon experience, delicate tissue handling, and early surgical intervention (8-12 months) are key to successful outcomes.

Conclusions:

• Surgeon experience is the most critical factor for successful hypospadias repair.
• Optimal surgical timing is between 8 and 12 months of age to minimize complications.
• Long-term follow-up, including psychological assessment, is vital, especially through puberty and into adulthood.