Management of complications after hypospadias repair

Objective To evaluate the management of complications after hypospadias repair.Methods Thirteen cases with hypospadias repair complication were reviewed. Three procedures were employed including:1) simple repair of urethral fistula and/or excision of urethral stricture (n=2), 2) scar excision, chordee release and one stage urethral reconstruction (n=4), 3) excision of scar tissue, release of chordee and secondary reconstruction of urethra (n=7). Results Procedure 1 resulted in failure in both cases. One patient who underwent procedure 2 developed urethral fistula, which was repaired 6 months later. Five of the 7 cases who underwent procedure 3 recovered satisfactory without any complication and the second- stage urethroplasty of the other 2 cases was not carried out yet. Conclusion The main point of the treatment for hypospadias repair complication is adequate excision of scar tissues and chordee release with one or second stage urethroplasty.