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S12-16
(P)
DOES FORESKIN RECONSTRUCTION AT TIME OF HYPOSPADIAS REPAIR
INCREASE RISK OF COMPLICATION?
Riccardo MANUELE, Kalpana PATIL, Arash TAGHIZADEH and Massimo GARRIBOLI
Evelina London Children's Hospital - Guy's and St Thomas NHS Foundation Trust, Paediatric Urology, London, UNITED
KINGDOM
PURPOSE
Foreskin reconstruction (FR) is now a recognised option for patients undergoing single-stage hypospadias repair. We
evaluated the incidence of complications after single-stage urethroplasty in our institution.
MATERIAL AND METHODS
A retrospective review was performed of boys who had single-stage hypospadias repair. Patients were divided into group
1 (circumcision) and group 2 (FR). Urethroplasty complications and foreskin complications were recorded.
RESULTS
Between March 2008 and August 2014, 359 patients had a single-stage hypospadias repair. Seven were excluded as
they were already circumcised at the time of the surgery and in 188 patients case-notes were not available at time of
the review. A total of 164 patients were analysed : 113 were circumcised and 51 had FR. The median age at the
operation was 18 months (10-121) and 19 months (10-103) (p=0.26); median follow-up was 11 months (1-60) and 8
months (2-18), respectively (p=0.05). Urethroplasty complications occurred in 22 (19%) patients in group 1 (12
fistulas, 5 breakdown, 2 meatal stenosis, 2 glans dehiscence, 1 urethral stricture) and in 7 (14%) in group 2 (6 fistulae,
1 meatal stenosis) (p = 0.5). Foreskin complications (5 fistulae, 4 breakdown, 2 stenosis) were identified in 11/51
(21%) patients. A second operation was required in a total of 22 and 16 patients, respectively (p = 0.1).
CONCLUSIONS
The outcome of our cohort of patients confirm that foreskin reconstruction does not significally increase the complication
rate after single stage hypospadias repair.