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. 2008 Apr;24(2):241-8.
doi: 10.4103/0970-1591.40622.

Acute postoperative complications of hypospadias repair

Amilal Bhat, Arup Kumar Mandal

Acute postoperative complications of hypospadias repair

Amilal Bhat et al. Indian J Urol. 2008 Apr.

Abstract

Purpose: Complications in hypospadias surgery are higher than other reconstructive procedures. The incidence of complications can be reduced if proper preventive measures are taken. The review aims to highlight incidences, causes, and preventive measures of acute complications of hypospadias repair.

Materials and methods: Literature reports were reviewed in Pubmed by giving the key word acute complications of hypospadias repair, wound infection, wound dehiscence, flap necrosis, edema, penile torsion, urethral fistula, bleeding and hematoma and urethral stents problems. Summaries of all articles were reviewed with full text of relevant article and results were analyzed.

Results: Besides mentioning the complications of hypospadias repair in individual articles on the subject, we did not come across any separate article on this subject in the published English literature. Fistula is the commonest complication followed by edema and penile torsion.

Conclusions: Most acute complications can be prevented with adherence to principles of plastic and microsurgery, meticulous preoperative planning, and judicious postoperative care. Deviation from these principles may lead to disaster and even failure of the repair. The aim in hypospadias surgery should be following these principles and bring down the complication rates < 5% in distal hypospadias and < 10% in proximal hypospadias.

Keywords: Acute complications; hypospadias repair; management.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Postoperative severe edema
Figure 2
Figure 2
Complete dehiscence due to hematoma and infection with urethral stent in situ blood clot and unhealthy tissue
Figure 3
Figure 3
Granulation and healing after superficial skin loss without deeper tissue loss or fistula
Figure 4
Figure 4
Penile skin necrosis in full thickness
Figure 5
Figure 5
Loss of superficial layer of skin with mild edema and healthy granulation tissue below
Figure 6
Figure 6
Photograph of mild penile torsion on left
Figure 7
Figure 7
Photograph of severe edema following inadvertent removal of catheter severe hypospadias repair. Corrugated drain tube in situ
Figure 8
Figure 8
Photograph of premature pulled out urethral catheter on sixth day in distal hypospadias repair
See this image and copyright information in PMC

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References

    1. Powel CR, Mcaleer I, Alagiri M, Kaplan GW. Comparison of flaps versus grafts in proximal hypospadias surgery. J Urol. 2000;163:1286–8. - PubMed
    1. Duckett JW. Hypospadias. In: Walsh PC, et al., editors. Campbell's Urology. 7th ed. Philadelphia: WB Saunders Co; 1998. pp. 2093–119.
    1. Beuke M, Fisch M. Salvage strategies after complications of hypospadias repair. Urologe A. 2007;46:1670–5. - PubMed
    1. Snodgrass WT, Lorenzo A. Tubularized incised-plate urethroplasty for hypospadias reoperation. Br J Urol Int. 2002;89:98–100. - PubMed
    1. Guo Y, Ma G, Ge Z. Comparison of the Mathieu and the Snodgrass urethroplasty in distal hypospadias repair. Zhonghua Nan Ke Xue. 2004;10:916–8. - PubMed