Twenty-one males underwent an interview, clinical investigation, and measurement of urine flow and residual volume 15–25 years after surgery. All had undergone reconstruction due to hypospadias, using a staged procedure, which was essentially that of Byars. In an overall subjective evaluation, 11 men said that their hypospadias had had appreciable consequences, in 3 cases related mainly to urination, and in 8 cases mainly to appearance. Ten men felt their hypospadias was not a significant problem in daily life. Clinical examination revealed that the shape of the penis was acceptable and its length normal, as was the testicular volume. The meatus, however, was on the underside of the glans rather than on its tip in all cases, and it showed narrowing in 6 cases. Two pinhole fistulas were noted. The mean maximum flow rate was 15.9 ml/s (6.1–39.0), and the mean residual volume was 20.6 ml (0–75). Although surgical techniques have been improved during recent decades, the results of hypospadias repair made 20 years ago are nevertheless acceptable and most patients regard the outcome as satisfactory.
European Journal of Plastic Surgery – Springer Journals
Published: Nov 1, 2003
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