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Published on: January 7, 2019
Byars two-stage procedure for hypospadias after urethral plate transection
1Guangzhou Women and Children's Medical Center, Affiliated Women and Children's Medical Center of Guangzhou Medical University, Guangzhou, China.
Insights
The Byars two-stage procedure for primary hypospadias repair is a viable option with an 11.8% complication rate. This study reviewed 128 cases, finding successful flap take and no recurrent penile curvature.
Area of Science:
- Pediatric Urology
- Surgical Reconstruction
- Hypospadias Repair
Background:
- Hypospadias is a congenital condition requiring surgical correction.
- The Byars two-stage procedure is utilized for complex hypospadias cases, particularly when the urethral plate is transected.
Purpose of the Study:
- To evaluate the outcomes of primary hypospadias repairs using the Byars two-stage procedure.
- To document complication rates associated with this surgical technique.
Main Methods:
- Retrospective review of 128 primary hypospadias repairs performed between 2009 and 2012.
- Analysis of medical charts and follow-up data at specified intervals (2 weeks, 3, 6, and 12 months post-surgery).
- Documentation and analysis of complications including fistula, glans dehiscence, meatal stenosis, urethral stricture, diverticulum, and recurrent penile curvature.
Main Results:
- A total of 128 cases were analyzed with a median follow-up of 30 months.
- All flaps in the first stage of the Byars procedure were successful.
- An overall complication rate of 11.8% was observed, including fistula, glans dehiscence, urethral strictures, and concealed penis. No recurrent penile curvature was noted.
Conclusions:
- The Byars two-stage procedure is a suitable surgical option for primary hypospadias with a transected urethral plate.
- The study reported an 11.8% complication rate for the Byars two-stage procedure in primary hypospadias repair.
Objective:
To report on the outcomes of primary hypospadias repaired with the Byars two-stage procedure.
Materials And Methods:
Primary hypospadias repairs with the Byars two-stage procedure, between 2009 and 2012, were retrospectively reviewed. Medical charts were reviewed and analyzed. Follow up was at two weeks, three months, six months and one year after surgery. Complications, which included fistula, glans dehiscence, meatal stenosis, urethral stricture, diverticulum, recurrent penile curvature and others, were documented and analyzed.
Results:
One hundred and twenty-eight cases were included in the present study. The median follow up was 30 months (range 13-44 months). All flaps took successfully after the first stage. Overall complication rates were 11.8%. Complications included: seven cases of fistula; five glans dehiscence; two urethral strictures, which developed after fistula repair; and one concealed penis. No recurrent penile curvature was recorded.
Conclusions:
The Byars two-stage procedure is an option for primary hypospadias when the urethral plate is transected. It had an 11.8% complication rate in this present study.
