Duration of follow-up to diagnose hypospadias urethroplasty complications

• Published in: Journal of pediatric urology Vol. 10; no. 2; pp. 208 - 211
• Main Authors: Snodgrass, Warren, Villanueva, Carlos, Bush, Nicol C
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.04.2014
• Subjects: Fistula; Follow-Up Studies; Glans dehiscence; Humans; Hypospadias - diagnosis; Hypospadias - surgery; Kaplan-Meier Estimate; Male; Meatal stenosis; Pediatrics; Postoperative Complications - diagnosis; Postoperative Complications - surgery; Reconstructive Surgical Procedures - adverse effects; Reconstructive Surgical Procedures - methods; Reoperation - methods; Risk Assessment; Surgical Wound Dehiscence - surgery; Time Factors; TIP; Treatment Outcome; Uethroplasty complication; Urethra - surgery; Urethral Stricture - etiology; Urethral Stricture - surgery; Urinary Fistula - surgery; Urologic Surgical Procedures, Male - adverse effects; Urologic Surgical Procedures, Male - methods; Urology; Meatal stenosis; Hypospadias surgery; Fistula; TIP; Glans dehiscence; Uethroplasty complication
• ISSN: 1477-5131; 1873-4898
• DOI: 10.1016/j.jpurol.2013.11.011

Abstract Objective We report the time when hypospadias urethroplasty complications (UC) were diagnosed postoperatively. Methods The time UC occurred after primary distal and proximal TIP and TIP reoperations was obtained from prospectively maintained databases in consecutive patients. UC included fistulas, glans dehiscences, meatal stenoses, neourethral strictures and diverticula. Results Of 125 UC, 64% were diagnosed at the first postoperative visit and 81% were encountered within the first year after repair. Median time for diagnosis was 6 months (1.5–95) for fistulas, meatal stenoses/urethra strictures, and diverticulum, versus 2 months (1 week–24 months) for glans dehiscence. Conclusions The majority of UC are diagnosed at the first postoperative visit or within the first year following TIP hypospadias repair. Glans dehiscences are most often apparent by 2 months, whereas most fistulas and other UC are found by 6 months. After 1 year, 14 boys without UC have to be followed indefinitely to diagnose each additional complication.