Summary
Re-operative hypospadias surgery is often complicated by the general lack of healthy tissue for urethroplasty and skin coverage. The penile skin that is present is typically scarred and has a variable and poorly defined blood supply. Each case is different and demands individualized evaluation and care. Re-operation is delayed at least 6 months after the last repair, in order to maximize tissue healing and vascularity. Earlier attempts at definitive repair are often fraught with more complications. Common post hypospadias repair complications are urethrocutaneous fistula, urethral diverticulum, persistent chordee, and ure-thral stricture. Successful reconstruction of such refractory, post-surgical strictures, requires the whole surgical armamentarium, namely vascu-larized onlay flaps, buccal mucosal grafts, and planned staged procedures.
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Coplen, D.E. (2008). Reoperative Hypospadias Surgery and Management of Complications. In: Brandes, S.B. (eds) Urethral Reconstructive Surgery. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-103-1_25
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DOI: https://doi.org/10.1007/978-1-59745-103-1_25
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