Adult non-urethral complications after hypospadias repair in childhood: presentation, treatment and outcomes
PurposeThis study aimed to evaluate a group of adult patients with non-urethral complications after hypospadias repair in childhood, their surgical treatment, and outcomes.Materials and methodsWe analyzed 97 patients, mean age 22.5 years, who were treated in our center between January 2009 and Decem...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2023.1184948/full |
| _version_ | 1797809010235146240 |
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| author | Borko Stojanovic Borko Stojanovic Marta Bizic Marta Bizic Marko Bencic Marko Bencic Miroslav L. Djordjevic Miroslav L. Djordjevic Miroslav L. Djordjevic |
| author_facet | Borko Stojanovic Borko Stojanovic Marta Bizic Marta Bizic Marko Bencic Marko Bencic Miroslav L. Djordjevic Miroslav L. Djordjevic Miroslav L. Djordjevic |
| author_sort | Borko Stojanovic |
| collection | DOAJ |
| description | PurposeThis study aimed to evaluate a group of adult patients with non-urethral complications after hypospadias repair in childhood, their surgical treatment, and outcomes.Materials and methodsWe analyzed 97 patients, mean age 22.5 years, who were treated in our center between January 2009 and December 2020, for non-urethral complications after previous hypospadias repair in childhood. Non-urethral complications were defined as glans deformity, residual curvature and trapped penis due to insufficient penile skin. A radical surgical approach was used to correct all deformities, in a one-stage or a two-stage procedure. A successful outcome was defined as a straight penis with good length, anatomically regular glans, and cosmetically acceptable appearance, without need for additional surgeries. Sexual function was evaluated using International Index of Erectile Function.ResultsMean follow-up was 75 months (ranged from 24 to 168 months). One-stage and two-stage repair were performed in 85.5% and 14.5% of cases, respectively. A higher success rate was noted after one-stage repair (94% compared to 86%). Complications included four cases of penile curvature with late onset, one case of glans dehiscence and partial skin necrosis. Erectile dysfunction was determined in 24% of patients.DiscussionNon-urethral complications may occur many years after primary hypospadias repair, with a strong impact on the quality of life. Treatment is individualized and usually involves a radical surgical approach to correct all associated deformities and to achieve successful cosmetic and psychosexual outcomes. |
| first_indexed | 2024-03-13T06:46:10Z |
| format | Article |
| id | doaj.art-42f511ee14a3466fac77b549f146ce68 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-03-13T06:46:10Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-42f511ee14a3466fac77b549f146ce682023-06-08T05:31:47ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-06-011410.3389/fendo.2023.11849481184948Adult non-urethral complications after hypospadias repair in childhood: presentation, treatment and outcomesBorko Stojanovic0Borko Stojanovic1Marta Bizic2Marta Bizic3Marko Bencic4Marko Bencic5Miroslav L. Djordjevic6Miroslav L. Djordjevic7Miroslav L. Djordjevic8Belgrade Center for Urogenital Reconstructive Surgery, Belgrade, SerbiaSchool of Medicine, University of Belgrade, Belgrade, SerbiaBelgrade Center for Urogenital Reconstructive Surgery, Belgrade, SerbiaSchool of Medicine, University of Belgrade, Belgrade, SerbiaBelgrade Center for Urogenital Reconstructive Surgery, Belgrade, SerbiaSchool of Medicine, University of Belgrade, Belgrade, SerbiaBelgrade Center for Urogenital Reconstructive Surgery, Belgrade, SerbiaSchool of Medicine, University of Belgrade, Belgrade, SerbiaDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesPurposeThis study aimed to evaluate a group of adult patients with non-urethral complications after hypospadias repair in childhood, their surgical treatment, and outcomes.Materials and methodsWe analyzed 97 patients, mean age 22.5 years, who were treated in our center between January 2009 and December 2020, for non-urethral complications after previous hypospadias repair in childhood. Non-urethral complications were defined as glans deformity, residual curvature and trapped penis due to insufficient penile skin. A radical surgical approach was used to correct all deformities, in a one-stage or a two-stage procedure. A successful outcome was defined as a straight penis with good length, anatomically regular glans, and cosmetically acceptable appearance, without need for additional surgeries. Sexual function was evaluated using International Index of Erectile Function.ResultsMean follow-up was 75 months (ranged from 24 to 168 months). One-stage and two-stage repair were performed in 85.5% and 14.5% of cases, respectively. A higher success rate was noted after one-stage repair (94% compared to 86%). Complications included four cases of penile curvature with late onset, one case of glans dehiscence and partial skin necrosis. Erectile dysfunction was determined in 24% of patients.DiscussionNon-urethral complications may occur many years after primary hypospadias repair, with a strong impact on the quality of life. Treatment is individualized and usually involves a radical surgical approach to correct all associated deformities and to achieve successful cosmetic and psychosexual outcomes.https://www.frontiersin.org/articles/10.3389/fendo.2023.1184948/fullhypospadiaspenile curvaturetrapped peniscomplicationsreconstruction |
| spellingShingle | Borko Stojanovic Borko Stojanovic Marta Bizic Marta Bizic Marko Bencic Marko Bencic Miroslav L. Djordjevic Miroslav L. Djordjevic Miroslav L. Djordjevic Adult non-urethral complications after hypospadias repair in childhood: presentation, treatment and outcomes Frontiers in Endocrinology hypospadias penile curvature trapped penis complications reconstruction |
| title | Adult non-urethral complications after hypospadias repair in childhood: presentation, treatment and outcomes |
| title_full | Adult non-urethral complications after hypospadias repair in childhood: presentation, treatment and outcomes |
| title_fullStr | Adult non-urethral complications after hypospadias repair in childhood: presentation, treatment and outcomes |
| title_full_unstemmed | Adult non-urethral complications after hypospadias repair in childhood: presentation, treatment and outcomes |
| title_short | Adult non-urethral complications after hypospadias repair in childhood: presentation, treatment and outcomes |
| title_sort | adult non urethral complications after hypospadias repair in childhood presentation treatment and outcomes |
| topic | hypospadias penile curvature trapped penis complications reconstruction |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2023.1184948/full |
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