Correction of hypospadias in tree stages-follow-up examinations

Seventy-one of 93 patients with hypospadias had a deformity severe enough to justify a three-stage operation. This is described in detail. Exact excision of the chordee is emphasized. The advantage of the three-stage operation is the covering without tension of the newly formed urethra, resulting in a low rate of fistula formation (5.6%). The various types of hypospadias and the operative procedures as well as the complications are described in tabular form. Thirty-eight of the 71 patients were followed up. In 90%, the functional result was satisfactory. The micturating urethrogram showed an irregular urethra in a number of cases, but there was no stasis and no difficulty in micturition. The results are compared with those found in the literature.