AB119. Experience in operative treatment for recessive hypospadia (report of 7 cases)

Purpose: To explore the operative treatment and curative effect of recessive hypospadia.

Methods: Seven patients of recessive hypospadia were collected from February 2007 to December 2012.The age was between 1 year old to 8 years old (the average is 20 months). Cut off the urethra on the basis of releasing and removal of urethral fibrous band. Urethroplasty was taken with pedicled scrotal skin flap.

Results: All the patients were followed up for 1 to 3 years (the average is 20 months). Six of all the patients that the penile straightening well, penile shortening, urethral stricture and urethrocutaneous fistula didn’t occur. Only one case presented with urethral stricture and cure after taken stage 2 urethroplasty.

Conclusions: Recessive hypospadia has a very low morbidity. Belong to the type I of Devine’s classification criteria. It is easy to be misdiagnosed and mistreated. As recessive hypospadia has severe penile chordee, before taken the urethroplasty, it is better to cut off the urethra.

Keywords: Recessive hypospadia; urethroplasty; urethrocutaneous fistula