Leveuf: A Rescue Technique after the Failure of Other Hypospadias Techniques

The patient care of adults who have had complications of primary surgery of hypospadias remains a therapeutic challenge. They are undoubtedly a difficult population to treat because these usually include the presence healed and poorly vascularized tissues, aesthetic deformation, lower urinary tract symptoms resulting into psychosexual consequences.These patients can be divided into three categories: the first group are the primary cases, the second group includes patients who had previous surgery during childhood and have a late complication (for example, a urethrocutaneous fistula, a persistent bend, urethral stricture,urethral diverticulum and poor aesthetic result), and the third group are patients who have undergone several failed surgeries called “crippled hypospadias” [1]. We report a case of hypospadias that we classify in the second group and for which we opted for a Leveuf urethroplasty.