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• W1997266677 abstract "No AccessJournal of UrologyAdult Urology1 Aug 2012Treatment of Adults with Complications from Previous Hypospadias Surgery Jeremy B. Myers, Jack W. McAninch, Bradley A. Erickson, and Benjamin N. Breyer Jeremy B. MyersJeremy B. Myers More articles by this author , Jack W. McAninchJack W. McAninch More articles by this author , Bradley A. EricksonBradley A. Erickson More articles by this author , and Benjamin N. BreyerBenjamin N. Breyer More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.04.007AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Adults with complications from previous hypospadias surgery experience various problems, including urethral stricture, persistent hypospadias and urethrocutaneous fistula. Innate deficiencies of the corpus spongiosum and multiple failed operations makes further management challenging. Materials and Methods: We reviewed our prospective urethroplasty database of men who presented with complications of previous hypospadias surgery. Patients were included in study if they had greater than 6 months of followup. Our surgical management was defined as an initial success if there were no urethral complications. The overall success rate included men with the same result after additional treatment. Results: A total of 50 men had followup greater than 6 months (median 89) and were included in study. These 50 patients presented with urethral stricture (36), urethrocutaneous fistula (12), persistent hypospadias (7), hair in the urethra (6) and severe penile chordee (7). Patients underwent a total of 74 urethroplasties, including stage 1 urethroplasty in 19, a penile skin flap in 11, stage 2 urethroplasty in 11, urethrocutaneous fistula closure in 9, permanent perineal urethrostomy in 6, excision and primary anastomosis in 6, a 1-stage buccal mucosa onlay in 4, tubularized plate urethroplasty in 3, combined techniques in 3 and chordee correction in 1. In 25 men (50%) treatment was initially successfully. Of the 25 men in whom surgery failed 18 underwent additional procedures, including 13 who were ultimately treated successfully for an overall 76% success rate (38 of 50). Conclusions: Managing problems from previous hypospadias surgery is difficult with a high initial failure rate. Additional procedures are commonly needed. References 1 : A one-stage hypospadias repair. J Urol1961; 85: 166. Link, Google Scholar 2 : Tubularized incised-plate urethroplasty for proximal hypospadias. BJU Int2002; 89: 90. 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Link, Google Scholar Department of Urology, University of California-San Francisco, San Francisco, California© 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byLucas J, Hightower T, Weiss D, Van Batavia J, Coelho S, Srinivasan A, Shukla A, Zderic S, Kolon T, Zaontz M, Canning D and Long C (2020) Time to Complication Detection after Primary Pediatric Hypospadias Repair: A Large, Single Center, Retrospective Cohort AnalysisJournal of Urology, VOL. 204, NO. 2, (338-344), Online publication date: 1-Aug-2020.Long C, Chu D, Tenney R, Morris A, Weiss D, Shukla A, Srinivasan A, Zderic S, Kolon T and Canning D (2016) Intermediate-Term Followup of Proximal Hypospadias Repair Reveals High Complication RateJournal of Urology, VOL. 197, NO. 3 Part 2, (852-858), Online publication date: 1-Mar-2017.Castagnetti M (2014) Childhood Hypospadias Repairs—Do they Stand the Test of Time?Journal of Urology, VOL. 193, NO. 3, (756-757), Online publication date: 1-Mar-2015.Snodgrass W, Villanueva C and Bush N (2014) Primary and Reoperative Hypospadias Repair in Adults—Are Results Different than in Children?Journal of Urology, VOL. 192, NO. 6, (1730-1733), Online publication date: 1-Dec-2014. Volume 188Issue 2August 2012Page: 459-463 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Keywordsreoperationpostoperative complicationsurethraadulthypospadiasMetricsAuthor Information Jeremy B. Myers More articles by this author Jack W. McAninch More articles by this author Bradley A. Erickson More articles by this author Benjamin N. Breyer More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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