Single stage hypospadias repair: Experience of 76 cases

Choi, Ho Cheol; Ryu, Dong Soo; Kim, Kwang Sae

Abstract

To evaluate the efficacy of single stage repair of hypospadias, the results of 76 patients were compared to those of 45 patients who had staged repair during the period of the last 22 years. Cases of single stage repair were tremendously increased in recent years (13 patients before 1987, 63 patients after 1987). The success rate was much better than that of staged repair (single stage: 63.1 %, staged: 28.9 %). Among 45 patients who had staged repair. 17 patients (53.1 %) underwent multiple surgical corrections due to troublesome stricture, fistula and remnant chordee, and 9 patients (20 %) required additional meatal advancement due to coronal or subcoronal neomeatus. In conclusion, single stage hypospadias repair could be applicable in most cases of hypospadias and the results were superior to those of staged repair. The complications and morbidity were minimal.