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Is only meatoplasty a legitimate surgical solution for extreme distal hypospadias? A long‐term follow‐up after adolescence
Author(s) -
Mor Y.,
Ramon J.,
Jonas P.
Publication year - 2000
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.2000.00488.x
Subject(s) - hypospadias , medicine , surgery , urination , patient satisfaction , medical record , dorsum , urinary system , anatomy
Objective To review the long‐term outcome of glanular hypospadias repair for extreme distal hypospadias based on simple dorsal Browne meatoplasty and circumcision, with particular attention to patient satisfaction. Patients and methods A review of medical records identified 124 patients who underwent surgery for hypospadias between 1970 and 1979. Their age at operation ranged from 3 months to 13 years. The operation, performed as a day‐case, included dorsal Browne meatoplasty for meatal advancement, based upon the Heineke‐Mikulicz principle, using three absorbable sutures and often circumcision. There were no immediate complications. A questionnaire was sent to 111 patients whose present address was available. Two patients had died since the operation and of the 109 remaining patients, 43 (39%) replied. Results The patients were aged 16–31 years at the time of assessment, giving a follow‐up of 18 (13–23) years. Seven of the 43 patients were married. Seven patients had complained of some difficulties with urination, four reporting a poor urinary flow. The stream was directed forward in 32 patients and to some degree downwards in 11, still enabling all the patients to urinate while standing with a single stream. Thirty‐two patients had had sexual experience, with no functional problems. Twenty‐three defined their penile appearance as normal and 20 as abnormal. Overall, 24 (56%) reported complete satisfaction, 11 (25%) partial satisfaction and eight (19%) were dissatisfied with the surgical result. Conclusion As there are few published reports about the long‐term outcome and patient satisfaction after hypospadias repair, it is difficult to draw clear conclusions. However, this simple procedure is a legitimate surgical option for extremely distal glanular hypospadias.