Management of severe hypospadias with a 2-stage repair

A. B. Retik, S. B. Bauer, J. Mandell, Craig A Peters, A. Colodny, A. Atala

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

From 1986 to 1993 we treated 1,437 children with hypospadias of whom 58 had scrotal or perineal hypospadias with severe chordee and a small phallus. These patients underwent a 2-stage surgical repair. The first stage of the procedure included correction of the chordee and advancement of preputial flaps ventrally and distally to the superior aspect of the glans. After 6 to 12 months the second stage of the procedure was performed using the previously transferred preputial skin to reconstruct the glans and urethra. A second layer of subcutaneous tissue or tunica vaginalis was used in several instances. A penile nerve block and a transparent biomembrane dressing (Tegaderm) allowed for early postoperative mobilization. Excellent functional and cosmetic results were achieved. There is a subset of patients with severe proximal hypospadias, chordee and a small phallus who may benefit best from a 2-stage procedure. In these children a 2-stage repair allows for a better cosmetic appearance and a lower complication rate than a 1-stage repair with a free or vascularized graft.

Original languageEnglish (US)
Pages (from-to)749-751
Number of pages3
JournalJournal of Urology
Volume152
Issue number2 II
StatePublished - Jan 1 1994

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Hypospadias
Cosmetics
Early Ambulation
Nerve Block
Subcutaneous Tissue
Urethra
Bandages
Transplants
Skin

Keywords

  • graft survival
  • hypospadias
  • penis
  • urethra

ASJC Scopus subject areas

  • Urology

Cite this

Retik, A. B., Bauer, S. B., Mandell, J., Peters, C. A., Colodny, A., & Atala, A. (1994). Management of severe hypospadias with a 2-stage repair. Journal of Urology, 152(2 II), 749-751.

Management of severe hypospadias with a 2-stage repair. / Retik, A. B.; Bauer, S. B.; Mandell, J.; Peters, Craig A; Colodny, A.; Atala, A.

In: Journal of Urology, Vol. 152, No. 2 II, 01.01.1994, p. 749-751.

Research output: Contribution to journalArticle

Retik, AB, Bauer, SB, Mandell, J, Peters, CA, Colodny, A & Atala, A 1994, 'Management of severe hypospadias with a 2-stage repair', Journal of Urology, vol. 152, no. 2 II, pp. 749-751.
Retik AB, Bauer SB, Mandell J, Peters CA, Colodny A, Atala A. Management of severe hypospadias with a 2-stage repair. Journal of Urology. 1994 Jan 1;152(2 II):749-751.
Retik, A. B. ; Bauer, S. B. ; Mandell, J. ; Peters, Craig A ; Colodny, A. ; Atala, A. / Management of severe hypospadias with a 2-stage repair. In: Journal of Urology. 1994 ; Vol. 152, No. 2 II. pp. 749-751.
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