You have accessJournal of UrologyPediatrics: Congenital Anomalies - Lower Urinary Tract & Genitalia1 Apr 2010530 PAEDIATRIC HEALTH OUTCOMES FOLLOWING HYPOSPADIAS SURGICAL REPAIR Natasha Nassar, Andrew Barker, Naeem Samnakay, and Carol Bower Natasha NassarNatasha Nassar Sydney, Australia More articles by this author , Andrew BarkerAndrew Barker Perth, Australia More articles by this author , Naeem SamnakayNaeem Samnakay Perth, Australia More articles by this author , and Carol BowerCarol Bower Perth, Australia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.729AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Hypospadias is a common birth defect of the male genitalia affecting, on average, up to 1 in every 130 infant boys born in Western Australia each year. Most cases of hypospadias require major surgical repair to ensure urinary function and fertility in the long term. The aim of this study was to investigate the paediatric health outcomes of infants following hypospadias surgical repair. METHODS The study population comprised all male infants born in Western Australia (WA), Australia between 1980 and 2000, diagnosed with hypospadias and notified to the WA Birth Defects Registry. Demographic, health service and clinical information on all infant hospitalisations were obtained via record linkage to the WA Hospital Morbidity Data System with follow-up to 31 December 2003. Hypospadias repair was identified from relevant ICD diagnostic and procedure codes recorded for each hospital separation and infant characteristics, complications and outcomes following hypospadias repair were assessed. RESULTS Overall, 1784 infants were diagnosed with hypospadias during the study period with 66% of cases undergoing at least one hypospadias repair with two thirds of infants with mild hypospadias and nearly all boys with moderate-severe hypospadias having surgery. The median age of first repair was 1.3 years of age, with the median age at first repair decreasing from 2-3 years in 1988 to less than one year of age from 1998. Almost one in three (31%) infants experienced a complication following hypospadias repair requiring readmission to hospital and 2/3 occurred within a year of surgery. The most common complications were urethral stricture (32%), fistula (28%) and meatal stenosis (11%). Post-operative complication rates were significantly lower when surgery was performed amongst infants aged less than one year (6%) and have declined in more recent years. CONCLUSIONS Hypospadias repair is a common procedure amongst male infants with up to one in three experiencing a complication or repeat surgery following initial repair. Rate of post-operative complications decreased with younger age at surgery and also decreased over time and may be associated with improved surgical techniques, lower age at surgery, increased awareness of possible complications, technological advancement and improvement in preventative measures. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e209 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Natasha Nassar Sydney, Australia More articles by this author Andrew Barker Perth, Australia More articles by this author Naeem Samnakay Perth, Australia More articles by this author Carol Bower Perth, Australia More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...