Our Summary

The study examines the success and complication rates of surgeries to correct hypospadias, a male birth defect where the opening of the urethra is on the underside of the penis rather than at the tip. The researchers looked at a specific type of hypospadias, proximal hypospadias, where the urethral opening is closer to the base of the penis.

They analyzed the medical records of boys who had this type of surgery between 2007 and 2014. Some of these boys had a one-stage repair procedure, while others had a two-stage repair. The researchers wanted to see if there was a difference in complication rates between these two types of procedure.

Out of the 167 boys included in the study, over half (56%) experienced complications after their surgery. Those who had a one-stage repair procedure had a slightly higher complication rate (62%) than those who had a two-stage repair (49%). The boys who had a one-stage repair also had more unplanned follow-up procedures and were more likely to experience at least two complications.

However, the timing of the complications didn’t differ between the two groups. This means that, regardless of whether the boys had a one-stage or two-stage repair, if complications were going to occur, they tended to happen at the same time after surgery.

The researchers concluded that the high complication rate means that boys with proximal hypospadias need to be closely monitored after surgery, regardless of the type of procedure they have. They also suggested that more patients in the one-stage group experienced at least two complications.

FAQs

  1. What is hypospadias and what was the specific type studied in this research?
  2. What is the difference between a one-stage repair procedure and a two-stage repair for hypospadias?
  3. What were the findings of the study in terms of complication rates and timing for one-stage and two-stage repair procedures?

Doctor’s Tip

One helpful tip that a doctor might tell a patient about hypospadias repair is to closely follow post-operative care instructions and attend all follow-up appointments. This is important for monitoring for any complications that may arise and ensuring proper healing. Additionally, maintaining good hygiene and avoiding strenuous activities can help promote a successful recovery.

Suitable For

Patients with proximal hypospadias, particularly those who have a urethral opening closer to the base of the penis, are typically recommended hypospadias repair surgery. It is important for these patients to be closely monitored after surgery due to the high complication rates associated with this condition. The type of procedure, whether it is a one-stage or two-stage repair, may affect the likelihood of complications and the need for additional follow-up procedures. It is important for healthcare providers to carefully consider the individual needs of each patient when recommending a treatment plan for hypospadias repair.

Timeline

Before hypospadias repair:

  • Patient is diagnosed with hypospadias, a birth defect where the opening of the urethra is on the underside of the penis
  • Patient and parents discuss treatment options with healthcare provider
  • Surgery is scheduled for repair of hypospadias

After hypospadias repair:

  • Patient undergoes either a one-stage or two-stage repair procedure
  • Recovery period following surgery, which may include pain management and wound care
  • Patient is monitored for complications, such as fistulas, strictures, or urinary problems
  • Follow-up appointments with healthcare provider to assess healing and address any issues that may arise
  • Long-term monitoring of patient’s urological health to ensure the success of the surgery and address any potential complications.

What to Ask Your Doctor

Some questions a patient should ask their doctor about hypospadias repair include:

  1. What are the potential complications of the surgery?
  2. What is the success rate of the surgery for my specific type of hypospadias?
  3. How long is the recovery process and what can I expect during this time?
  4. Will I need any follow-up procedures or additional surgeries in the future?
  5. Are there any long-term effects or risks associated with the surgery?
  6. What is the difference between a one-stage and two-stage repair procedure, and which one do you recommend for me?
  7. What is the expected outcome of the surgery in terms of appearance and function?
  8. Are there any lifestyle changes or restrictions I need to be aware of after the surgery?
  9. How experienced are you in performing hypospadias repair surgeries?
  10. Can you provide me with any resources or additional information about hypospadias and the surgical repair process?

Reference

Authors: Long CJ, Chu DI, Tenney RW, Morris AR, Weiss DA, Shukla AR, Srinivasan AK, Zderic SA, Kolon TF, Canning DA. Journal: J Urol. 2017 Mar;197(3 Pt 2):852-858. doi: 10.1016/j.juro.2016.11.054. Epub 2016 Nov 10. PMID: 27840122