Urethral strictures after hypospadias repair.
Publication/Presentation Date
1-1-1989
Abstract
Over a 16 years period, we have treated 34 cases of urethral stricture after hypospadias repair. Seventeen patients were successfully treated with one procedure, while 16 patients required two or more procedures; one patient was lost to follow-up. Eighteen patients who presented with symptoms attributable to their stricture within 3 months of their original operation for hypospadias were designated as having early strictures. Those strictures presenting later than 3 months were termed late strictures. Manipulative therapy (dilation, direct vision internal urethrotomy) was successful in 46% of early strictures, but in only 16% of late strictures. Open surgical procedures were employed primarily in some cases or after failed manipulation in others and were successful in 82% of cases. All 4 failures of open procedures were salvaged with manipulative therapy. We conclude that treatment of post hypospadias repair urethral strictures should initially be manipulative. Open surgical repair will usually be successful but should be reserved for difficult strictures, late strictures, or failures of manipulation.
Volume
95
Issue
1
First Page
23
Last Page
26
ISSN
0248-0018
Published In/Presented At
Scherz, H. C., Kaplan, G. W., Packer, M. G., & Brock, W. A. (1989). Urethral strictures after hypospadias repair. Journal d'urologie, 95(1), 23–26.
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
2732481
Department(s)
Department of Pediatrics
Document Type
Article