Hypospadias repair: optical magnification versus Zeiss reconstruction microscope

The results of hypospadias repair using 3.5 x magnification (53 cases) were compared with the results after using the Zeiss reconstruction microscope (59 cases). There were 33 MAGPI procedures, 47 flip-flap operations, 4 free graft patch repairs, 16 island pedicle patches, and 12 free graft tubed urethroplasties. Only one short-term complication occurred: a stricture after free graft urethroplasty using optical loupes. Although success of hypospadias repair is not totally dependent on use of the microscope, it is predicted that it will be used more often in the repair of hypospadias in the future because of its advantages.