One-stage Repair of Hypospadias Using Split Preputial Flaps (Harris)

Abstract

An analysis is presented of the outcome in the first 100 patients treated by a new technique for the repair of hypospadias and congenital short urethera associated with chordee. Further reconstructive surgery were required in 24 patients. The effect of the position of the meatus, the length of the reconstructed urethra and the method of urinary drainage are analysed. Minor complications are described. A signficiantly higher complication rate was associated with a perurethral than a suprapubic catheter; 5 of the 38 patients in whome a subrapubic catheter was used developed complications requiring reconstructive surgery. Possible causes of the complications are discussed and the results compared with those of other methods. It was concluded that this is satisfactory method of repair for hypospadias associated with chordee.