Related Experiment Video
Updated: Aug 11, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
The two-stage repair for severe primary hypospadias
Navroop S Johal1, Tani Nitkunan, Kiaran O'Malley
1Department of Paediatric Urology, Great Ormond Street Hospital, London, UK. navjohal@hotmail.com
European Urology
|February 9, 2006
Summary
The two-stage hypospadias repair using inner preputial grafts is a reliable method for complex cases. This technique offers excellent cosmetic and functional outcomes with a low complication rate in pediatric patients.
Area of Science:
- Pediatric Urology
- Surgical Reconstruction
- Hypospadias Repair
Background:
- Severe primary hypospadias presents significant surgical challenges.
- Initial single-stage procedures yielded disappointing results, leading to a shift towards two-stage approaches.
- This study reports on a single surgeon's experience with the two-stage repair.
Purpose of the Study:
- To evaluate the efficacy and outcomes of a two-stage surgical repair for severe primary hypospadias.
- To assess the reliability, reproducibility, and complication rates of this technique.
Main Methods:
- A cohort of 62 boys with severe primary hypospadias underwent two-stage reconstruction between 1998 and 2003.
- Indications included proximal meatus, chordee, and glans abnormalities.
- Inner prepuce was used as the graft material, with a median follow-up of 26 months.
Main Results:
- All inner preputial skin grafts were successful, with no revisions required.
- Excellent cosmetic and functional results were achieved after the second stage.
- Complications were infrequent, including partial glans dehiscence, mild curvature, and meatal stenosis.
Conclusions:
- The two-stage hypospadias repair is a reliable and reproducible technique for complex cases.
- Inner preputial skin grafts demonstrate high success rates on the ventral penis.
- This approach facilitates achieving a slit-like meatus and excellent cosmetic results.
