Results of Surgery Performed on 151 Patients of Hypospadias: Single Center Experience

Abstract

Background: Hypospadias is defined as the hypoplasia of the ventral side of the penis such as the abnormal ventral opening of urethral meatus, chordee, and abnormal distribution of circumcision skin. The purpose of this study is to share our experiences with patients who underwent hypospadias repair surgery in a university hospital. Materials and Methods: After obtaining approval from the hospital’s ethical review board, the files of 151 patients with hypospadias who underwent surgery between March 2013 and October 2018, were examined retrospectively. One hundred thirty-five patients (89%) had anterior, and 16 patients (10.6%) had posterior hypospadias. Results: The average age of patients was 4,2 years (1-14). While 30% of the patients with anterior hypospadias had cordee below 30 degrees, 100% of patients with posterior hypospadias had chordee. In terms of complications, 15(9,9%) patients had urethro-cutaneous fistula, 20 (13,2%) patients had meatal stenosis, 3 patients (1.9%) glans dehiscence, and 1 patient (0.6%) had ventral skin necrosis. Conclusion: Hypospadias surgery is still challenging due to being associated with certain complications. As one single surgery does not yield good results for any hypospadias, these patients should be managed with specific operations selected according to the patient.