Repair of distal hypospadias and preputioplasty in one operation. Risks and advantages.

PURPOSE: To investigate the risk of simultaneous repair of distal hypospadias and preputioplasty in one operation and its relevance to the clinical, functional and cosmetic outcomes.

MATERIAL AND METHOD: The medical files of all patients treated for distal hypospadias from 1998 to 2006 that underwent simultaneous preputioplasty were reviewed. Postoperative complications, clinical, functional and cosmetic outcomes were assessed.

RESULTS: 78 patients were found to have been operated for distal hypospadias repair and prepuce reconstruction in one operation. Mean age at operation was 1.8 years. The 'Mathieu' technique was used for the repair of distal hypospadias in all patients. We found 3.8% urethral or meatal stricture. Fistulas appeared in 6.4% of the patients. Phimosis appeared in 3 patients (3.8%) and foreskin dehiscence presented in 2 patients (2.5%).

CONCLUSION: Preputioplasty together with distal hypospadias repair is feasible without risking the success of the main operation and guaranties a satisfactory cosmetic appearance.