PERINEAL URETHROSTOMY AFTER FAILED HYPOSPADIA

Introduction
Patient 16 years old who during childhood underwent 5 operations for hypospadia. When he came to us the patient suffered from obstructive urinary symptoms, urethral fistulae and urethral stones.

Materials and methods
Urethral examinations (urethrography and urethroscopy) showed a urethral stricture and hairs in the urethra deriving from the scrotum tissue which had been used to reconstruct the urethra during childhood.
Surgical technique: U inverted perineal incision. The bulbar urethra is isolated and opened ventrally for 8 cm : the urethra appeared made up of scrotal tissue with hair. Perineal urethrostomy by means of the Blandy technique.

Results
After 6 days we remove the catheter, and there were no complications.

Conclusions
Hypospadia is a complex patology. Often patients come to us after several surgical treatments, and the anatomic conditions of the tissue don't allow us to do a one-stage urethral reconstruction.
The staged urethral reconstruction seems the only realistic option for complete urethral and genitalia reconstruction.
Disclamer
Caution! Surgical images