Management of Urethral Strictures After Hypospadias Repair

Urol Clin North Am. 2017 Feb;44(1):105-111. doi: 10.1016/j.ucl.2016.08.014.

Abstract

Strictures of the neourethra after hypospadias surgery are more common after skin flap repairs than urethral plate or neo-plate tubularizations. The diagnosis of stricture after hypospadias repair is suspected based on symptoms of stranguria, urinary retention, and/or urinary tract infection. It is confirmed by urethroscopy during anticipated repair, without preoperative urethrography. The most common repairs for neourethra stricture after hypospadias surgery are single-stage dorsal inlay graft and 2-stage labial mucosa replacement urethroplasty.

Keywords: Hypospadias complications; Reoperative hypospadias urethroplasty; Strictures after hypospadias repair.

Publication types

  • Review

MeSH terms

  • Disease Management*
  • Humans
  • Hypospadias / complications*
  • Hypospadias / surgery
  • Male
  • Plastic Surgery Procedures / methods*
  • Postoperative Complications
  • Surgical Flaps / adverse effects*
  • Urethra / surgery*
  • Urethral Stricture / etiology
  • Urethral Stricture / surgery*
  • Urologic Surgical Procedures, Male / adverse effects*