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Updated: Aug 20, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
A prospective audit of hypospadias correction in a regional paediatric surgery centre
R Heer1, T J Dorkin, R L Byrne
1Department of Paediatric Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK. rakeshheer@hotmail.com
Insights
This study reviewed hypospadias repair in 153 boys, finding that single-stage Glanular Reconstruction and Preputioplasty (GRAP) repair is effective for distal hypospadias, yielding good outcomes.
Area of Science:
- Pediatric Urology
- Surgical Reconstruction
- Congenital Abnormalities
Background:
- Hypospadias is a common congenital condition requiring surgical correction.
- Management strategies vary, necessitating review of treatment outcomes.
Purpose of the Study:
- To prospectively analyze hypospadias management and treatment in a regional center.
- To assess the spectrum of cases, surgical techniques, and complications.
- To evaluate functional and cosmetic outcomes of hypospadias repair.
Main Methods:
- Prospective review of 153 consecutive boys undergoing hypospadias repair over 36 months.
- Data collection included meatal site, chordee, surgical technique, and postoperative care.
- Postoperative clinical assessments evaluated outcomes and complications.
Main Results:
- 157 hypospadias procedures were performed, with 145 in single-stage reconstructions.
- Glanular Reconstruction and Preputioplasty (GRAP) repair was the most common technique (n=112).
- The overall fistula rate was 11.7%, with most patients achieving satisfactory results.
Conclusions:
- Various techniques offer satisfactory hypospadias correction, with a trend towards single-stage procedures.
- GRAP repair is favored for distal hypospadias, including prepuce preservation.
- Successful surgical outcomes are achievable with appropriate technique selection.
Aim:
To prospectively review the management and treatment of hypospadias in a single regional centre, and in particular, to assess the spectrum of cases treated, techniques used and to determine the nature of the complications.
Methods:
One hundred and fifty-three consecutive boys undergoing hypospadias repair during a 36-month period were included in the study. Information was collected prospectively and included the site of the urethral meatus, presence of chordee, surgical technique employed, use of urinary diversion, and the prescription of postoperative antibiotics and analgesics. Patients were assessed in the clinic following surgery at which time information on outcome and complications was obtained.
Results:
One hundred and fifty-seven procedures for hypospadias were performed. Single-stage reconstruction was performed in 145 boys. GRAP (glanular reconstruction and preputioplasty) repair was the most common operation employed (n=112). The overall fistula rate was 11.7 % with the majority of patients having a satisfactory functional and cosmetic outcome following surgery.
Conclusion:
A variety of techniques can be employed to provide satisfactory correction of hypospadias with an increasing emphasis on single-stage day case procedures. GRAP repair is the favoured option for distal hypospadias and incorporates preservation of the prepuce.
