Study of urethral stricture in children after repair of hypospadias

ABSTRACT

The objective of this study was to evaluate the different modalities in the treatment of symptomatic urethral stricture after repair of hypospadias depending upon clinical picture and uroflowmetry. A total of 480 boys aged 12-72 months [mean 36 months] underwent surgical correction of hypospadias were included in this study. Symptomatic stricture rate was 6.25%, the presenting symptoms of urethral stricture was difficulty voiding [26.6%], weak stream [33.3%], fistula [10%], dysuria [10%], incidental [difficult catheterization] [6.6%], spraying [10%] and retention [3.3%]. 22 of 30 patients underwent initial attempts of urethral dilation, 14 patients were symptom free after dilation and eight patients required open urethroplasty. The study recommended routine uroflowmetry to monitor the functional status of the urethra after complex hypospadias repairs, so that strictures can be diagnosed at the earliest possible stage