Complications of surgical treatment of hypospadia

Abstract

127 new cases of hypospadia were treated in 1980-2002. A total
of 348 operations including urethroplasty by Duplay and Cecil were
made. 78 of the operations were followed by complications out of
which 26 were corrected in the postoperative period and had no effect
on the treatment results. The first stage of surgical correction of hypospadia
(89 operations) brought complications in 13.48% cases. Recurrent
distortion of the cavernous bodies was most typical complication
at this stage. In most cases development of scarry deformation
was due to inflammatory changes early after surgery. Derivatives of
prednisolone proved effective in the treatment of hypertrophic scars.
This complication correlated with skin plastic repair (longitudinal suturing
or creation of oncoming triangular flaps) to correct the defect.
The second stage of hypospadia surgery was urethroplasty made in
196 cases. It was accompanied with complications in 13.25 patients.
Fistulas of newly-created urethra (11.73%) were the most typical and
frequent complication. The number of postoperative complications
varied greatly depending on the disease form and method of urethral
reconstruction. Cecil urethroplasty brought complications in 7.94%
cases. Efficacy of neourethra creation by Duplay varied greatly depending
on the length of the created neourethral portion and the
number of local skin resourses (8-33-83.33% complications).