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Repair of mild hypospadias
1Department of Paediatric Surgery, Institute of Paediatrics, Poznań, Poland.
Summary
This study presents a one-stage hypospadias repair using a vascularized flap for neourethra creation. The technique effectively reconstructs the glans and prepuce, achieving excellent outcomes with no fistulas or stenosis in 70 patients.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Hypospadias is a common congenital condition requiring surgical correction.
- Existing surgical techniques aim to restore normal anatomy and function.
- Mild hypospadias repair often focuses on glanular and coronal forms.
Purpose of the Study:
- To present a one-stage surgical repair for mild hypospadias.
- To evaluate the efficacy and safety of a meatal-based vascularized flap technique.
- To assess the cosmetic and functional outcomes of the described hypospadias repair.
Main Methods:
- A one-stage surgical repair utilizing a meatal-based vascularized flap to create the neourethra.
- Reconstruction of the glans by bringing its two halves to the midline.
- Midline approximation of the divided prepuce laminae for reconstruction.
- Short-term urinary drainage via an indwelling infant feeding tube.
Main Results:
- Successful repair in 70 patients aged 12 months to 16 years.
- No fistulas or stenosis were observed postoperatively.
- One patient required meatal tailoring for a deviated urinary stream.
- No major complications associated with short-term urinary drainage.
Conclusions:
- The described one-stage hypospadias repair is effective and safe for mild forms.
- The technique facilitates a normal-appearing glans and functional neourethra.
- The method shows potential applicability to more proximal hypospadias cases.