Vaida Valentinaitė, Kastytis Gricius, Vytautas Bilius, Albertas Puzinas, Gilvydas Verkauskas
Objective: to compare the choice of operative technique and the rate of reoperations after the first hypospadias repair at our department during the last two decades. Materials and methods: medical records of all patients operated for hypospadias during the period of 1991 – 2010 were reviewed. We included patients with distal, penile and proximal hypospadias. The choice of operating technique, the amount of reoperations and the age at first operation were compared for last two decades (1991 – 2000 and 2001 – 2010). Results: a total of 965 patients met the inclusion criteria. 60% of patients had no reoperations, 27,7% had one and 12,3% had two or more reoperations during the period of 1991 – 2000. 73% had no reoperations, 20,4% had one and 6,5% had two or more reoperations during the period of 2001 – 2010. We analyzed the mean age at first operation: during the first decade it was 5,4 years and 4,1 – during the second. Conclusions: Complication rate after hypospadias repair at our department is decreasing but remains relatively high. Long term follow-up and the analyzis of results are necessary in order to improve our results.
Keyword(s): hypospadias; congenital anomaly; urethroplasty
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