Abstract

Objective: In this retrospective clinical trial, results of hypospadias repair in the adult age group was presented.

Material and methods: A total of 112 patients were operated due to hypospadias between January 1996 and April 2009. The mean age of the patients was 22 (range 16-27) years. Of the 112 cases, 80 (71.4%) were primary and 32 (28.6%) were secondary cases that had undergone 1-12 operations. All of the secondary cases and 77% of the primary cases (n=62) were circumcised. The number of cases by methods used are as follows: Tipu 37 cases, Mathieu 28 cases, Buccal mucosa 26 cases, combined method 9 cases, Onlay flap 8 cases, Duckett’s island flap 3 cases, and Thiersch 1 case.

Results: Of the 80 primary cases, with and without circumcision, urethral fistula developed only in 15 cases (18.7%) and meatal stricture combined with the fistula occurred in 3 cases (3.7%). Local penile skin was used in 6 of secondary cases, and of those cases, fistula occurred in one and complete opening in the urethra was observed in one. Of the 26 cases operated using buccal mucosa, fistula occurred in 10 cases (38.4%) and meatal stricture combined with the fistula developed in 3 cases (11.5%). 

Conclusion: For hypospadias repair in adults, the success rates may be lower for cases in which a free graft must be used due to an insufficient or nonexistent amount of local penile skin.