Results from Hodgson`s Type III Urethroplasty for Hypospadias

Kim, Dong Ho; Min, Byung Kap

Abstract

The majority of hypospadias repairs can now be accomplished in one-stage, providing a better result with reduced morbidity and hospitalization costs. One-stage repair of hypospadias using Hodgson`s type III urethroplasty was performed on 22 of 47 cases with hypospadias treated at the Departrnent of Urology, Chonnam University Hospital during 10 years between 1976 and 1985. The following results were obtained. 1. The age of all 22 patients ranged from 4 to 30 years at the time of operation and about a half of the patients were in the age group between 6 and 10 years. 2. The most common type of hypospadias was penoscrotal one (55%) 3. Associated anomalies were bifid scrotum in 5 cases (23%) and cryptorchidism in 3 (14%). 4. Urinary diversion was performed on all cases with suprapubic Troca Cystocath in 16 cases (73%) and indwelling urethral silastic catheter in 6(27 %). 5. Postoperative complications were partial skin necrosis in 1 cases (4%), urethrocutaneous fistula in 6 (27%) and urethral stricture in 3 (14%). 6. Opening of the external urethral meatus after surgery was unsatisfactory in 5 cases, of which 3 underwent meatal advancement later. Tumors of the epididymis are rare. The most common one is adenomatoid tumor. At least more than two hundred cases have been reported in the literature but only one was reported by us last year in this country. We add another one which is involving bilateral epididymis simultaneously and review literature briefly.