Age of patient is a risk factor for urethrocutaneous fistula in hypospadias surgery

J Pediatr Urol. 2013 Dec;9(6 Pt A):900-3. doi: 10.1016/j.jpurol.2012.12.007. Epub 2013 Jan 3.


Objective: There is still much debate regarding the effect that age at hypospadias operation has on the rate of complications. The aim of this study was to evaluate whether patient age is a risk factor for surgical complications when using the tubularized incised plate (TIP) urethroplasty technique.

Methods: Between 2005 and 2011, 307 pediatric patients with distal or mid-penile hypospadias underwent the TIP procedure. Demographic and surgical data were evaluated.

Results: The complications recorded across all age groups were: fistula, meatal stenosis, glans dehiscence and urethral stenosis. Fistula was the most frequent complication in 10-14 year olds compared to the younger patient groups, and this difference was statistically significant.

Conclusion: Age and surgical technique should be taken into consideration when planning hypospadias surgery, since the complication rate increases with patient age. The TIP technique is a safe procedure with a low rate of fistula formation in distal and mid-penile hypospadias repair for patients of any age during the prepubertal period.

Keywords: Age; Complications; Hypospadias; TIP.

MeSH terms

  • Adolescent
  • Age Distribution
  • Child
  • Child, Preschool
  • Cutaneous Fistula / epidemiology*
  • Cutaneous Fistula / etiology
  • Humans
  • Hypospadias / epidemiology*
  • Hypospadias / surgery*
  • Infant
  • Male
  • Penis / surgery
  • Risk Factors
  • Surgical Wound Dehiscence / epidemiology
  • Surgical Wound Dehiscence / etiology
  • Urethra / surgery
  • Urethral Stricture / epidemiology
  • Urethral Stricture / etiology
  • Urinary Fistula / epidemiology*
  • Urinary Fistula / etiology
  • Urologic Surgical Procedures, Male / adverse effects*