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Retrospective descriptive analysis on 1176 patients treated for failed hypospadias in two tertiary Centers

III ISHID Congress – Toronto, Canada – 12-15 November 2009. Retrospective descriptive analysis on 1176 patients treated for failed hypospadias in two tertiary Centers. Vallasciani S 1 , Perovic S 2 , Djinovic R 2 , Sansalone S 3 and Barbagli G 1

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Retrospective descriptive analysis on 1176 patients treated for failed hypospadias in two tertiary Centers

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  1. III ISHID Congress – Toronto, Canada – 12-15 November 2009 Retrospective descriptive analysis on 1176 patients treated for failed hypospadias in two tertiary Centers Vallasciani S1, Perovic S2, Djinovic R2, Sansalone S3 and Barbagli G1 1 Center for Reconstructive Urethral Surgery, Arezzo, Italy; 2 Department of Urology, “Zvezdara” Clinical Centre, Belgrade, Serbia 3 Department of Urology, “Tor Vergata” University, Rome, Italy

  2. Purpose: FAILED HYPOSPADIAS POPULATION • Incidence • Characteristics UNKNOWN Center for Reconstructive Urethral Surgery

  3. (in press) observational, descriptive survey 1998 - 2007 1176 failed primary hypospadias repair urethral strictures penile defects Center for Reconstructive Urethral Surgery

  4. Materials and methods: • primary site of meatus • age • number of surgical procedures Center for Reconstructive Urethral Surgery

  5. QUERIES • proximal > distal ? • older techniques > new techniques ? • single staged procedures ? Center for Reconstructive Urethral Surgery

  6. Results: primary site of meatus Distribution similar to primary hypospadias population Center for Reconstructive Urethral Surgery

  7. Results: patient age 1990 – 2000 1980 – 1990 Modern hypospadias surgery era Center for Reconstructive Urethral Surgery

  8. Results: number of operations PRIMARY CORRECTION SALVAGE REPAIR mean: 3.3 (1 – 23) mean: 2.3 (1 – 8) Center for Reconstructive Urethral Surgery

  9. Results: number of operations PRIMARY + SALVAGE mean: 5.8 (2 – 23) SINGLE STAGE SURGERY? Center for Reconstructive Urethral Surgery

  10. QUERIES • distal > proximal ? • older techniques > new techniques ? • single staged procedures ? NO NO NO Center for Reconstructive Urethral Surgery

  11. OUR STUDY Conclusion True incidence and epidemiology of failed hypospadias in adult remains to be quantified Center for Reconstructive Urethral Surgery

  12. Conclusion In our survey, any type of primary hypospadias (glandular to penoscrotal) showed a high failure rate over time Center for Reconstructive Urethral Surgery

  13. Conclusion Only a small number of patients had a single procedure. 5.8 operations (mean) along their lifes. … and still most of them are not satisfied with results! Center for Reconstructive Urethral Surgery

  14. Thank you for your attention For registration: www.failedhypospadias.com Center for Reconstructive Urethral Surgery

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