Summary
At present, essentially all cases of hypospadias may be repaired in a single stage on an outpatient basis or with a single night's stay. Urethrocutaneous fistula, anastomotic stricture, and meatal stenosis are the most common complications. A urethral diverticulum may develop following a transverse preputial island flap if the caliber of the neourethra is too large or secondary to postoperative urinary extravasation. Many of these patients have multiple complications that must be recognized. If a long urethral segment is needed to reconstruct a previously unsuccessful hypospadias repair, a repeat island pedicle flap or free skin graft may be used. More recently, a free bladder mucosal graft has been demonstrated to be quite effective.
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Elder, J.S., Duckett, J.W. Urethral reconstruction following an unsuccessful one-stage hypospadias repair. World J Urol 5, 19–24 (1987). https://doi.org/10.1007/BF00326770
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DOI: https://doi.org/10.1007/BF00326770