One stage repair of hypospadias

The surgical repair of hypospadias has evolved from the multi-staged procedures of the previous decade to single stage urethroplasty. A number of techniques have been described and this report is a study of the experience in 44 cases using 4 different types of repair. All patients were Chinese and their ages ranged from 1 year to 23 years, with about half the cases below 5 years of age. The most commonly used method of repair was the transverse preputial flap technique of Duckett (25 out of 44 cases). The overall results indicate a fistula rate of 20%. The detail correlation of complications with age, type of hypospadias and type of repair illustrate the general principle that while age is not a significant factor, with the more severe types of hypospadias, the complication rate is definitely increased.