Do New Complications Develop during Puberty after Childhood Hypospadias Repair?

There is a bimodal presentation of complications after childhood hypospadias repair. Most occur before puberty, while a smaller number of obstructive lesions develop in middle age. We found few new complications occurring during penile growth at puberty. These data potentially impact discussions regarding optimal duration of followup after childhood hypospadias repair, and also can reassure caregivers considering repair in boys that the risk for new complications developing during puberty appears to be small.