Management of complications after hypospadias repair during childhood.

Abstract

Methods: This study aims to describe the presenting complaints, clinical findings and management strategies in men with a history of prior hypospadias surgery. Men aged 15 years or older, referred with complaints related to hypospadias, were identified through the electronic patient record system. Data were collected over a ten-year period.

Results: Of 201 referrals, 136 men had a history of hypospadias surgery, with a median age at referral of 33 years (range: 15-72). The most common presenting complaints were urethral stricture (n = 63) or meatal stenosis (n = 14), which were more frequently observed in older patients. Other presenting complaints were urethrocutaneous fistula (n = 24), preputial problems (n = 8) and penile curvature (n = 7). An additional 20 men presented with various complaints such as spilt urine stream, episodes of haematuria, anejaculation or coital pain. Management strategies included reconstructive procedures (e.g., single or staged urethroplasty), minor procedures (such as Nesbit procedure or fistula closure), endoscopic interventions (urethral dilation or urethrotomy) or counselling.

Conclusions: Complaints following previous hypospadias repair are present across the entire adult age span. Therefore, caregivers of young boys must be informed following hypospadias surgery to seek medical evaluation whenever hypospadias-related complications are suspected, even decades after reconstruction.

Funding: None.

Trial registration: Not relevant.