Foreskin reconstruction for distal hypospadias

European Urology, Volume 46, Issue 4: Pages 526-530, October 2004.

Unstented tubularized incised plate urethroplasty combined with foreskin reconstruction for distal hypospadias

Leclair MD, Camby C, Battisti S, Renaud G, Plattner V, Heloury Y.

Department of Paediatric Urology,
Service de Chirurgie Infantile,
Hopital Mere-Enfant, CHU de Nantes,
44093 Nantes Cedex 01, France.

Background and aim: Urethral stent has recently been proven to be unnecessary for normal healing in an animal model of tubularized incised plate (TIP) urethroplasty. We report our experience with unstented TIP repair combined with foreskin reconstruction for distal hypospadias in children.

Patients and Methods: We retrospectively reviewed the records of 162 children consecutively treated by TIP urethroplasty for a distal or mid-shaft hypospadias without urethral stent over a 6 years period. The mean [Formula: see text] at surgery was [Formula: see text] months. A foreskin reconstruction was performed with the hypospadias repair in 136 boys (84%). One hundred thirty one children (81%) underwent this surgery as an outpatient procedure.

Results: With a mean follow-up of [Formula: see text] months, urethrocutaneous fistula was observed in 9 children (5.6%), and meatal stenosis in 4 (2.5%). Postoperative urinary retention requiring suprapubic catheter insertion was observed in 4 cases (2.5%) without later complications. Cutaneous dehiscence of the reconstructed foreskin occurred in 6 children (4.4%) and phimosis in 13 (9.5%).

Conclusions: Absence of urethral stent after TIP urethroplasty for distal hypospadias repair does not seem to increase postoperative complication rate. Foreskin reconstruction in distal hypospadias surgery has an acceptable complication rate.

PMID: 15363572 [PubMed - in process]


The Circumcision Information and Resource Pages are a not-for-profit educational resource and library. IntactiWiki hosts this website but is not responsible for the content of this site. CIRP makes documents available without charge, for informational purposes only. The contents of this site are not intended to replace the professional medical or legal advice of a licensed practitioner.

Top   © 1996-2024 | Please visit our sponsor and host: IntactiWiki.