For a study, researchers sought to describe better the range of males who had had hypospadias treatment as a child and were presenting to an adult urology clinic with chronic urethral issues. Between 2004 and 2017, a retrospective examination of the records of 42 adult patients with a personal history of hypospadias correction during childhood was referred to 1 adult tertiary urology clinic. There were 28 patients with persistent urethral strictures (median age 28 years [17–81]). Residual chordee, cosmetic concerns, isolated fistulas, and non-hypospadias-related consultation motivations were all ruled out. The early success rate and the location of the urethral stricture were investigated. Non-parametric tests were used in the statistical analysis. About 28 of the 42 adults eligible for the study had a persistent urethral stricture. 13 of the 28 boys underwent numerous surgical revision surgeries during their youth, including 6 for postoperative urethral strictures. Initial urethral examination indicated 29 urethral strictures in 28 patients during maturity (penile urethra 23/29, bulbar urethra 8/29). The success rate of stricture treatment in the early stages was 50% (median follow-up: 4 years [1–7]). Additional surgical treatments were required in 11 patients, which were completed. Around 8 patients were eventually diagnosed with a bulbar stricture, either alone (n=5) or in combination with a distal stricture (n=3), with no significant association to the position of the meatus at the time of diagnosis. Bulbar strictures accounted for more than a quarter of all strictures found in adult patients treated for hypospadias in childhood, regardless of the urethral reconstruction location.
Source:www.sciencedirect.com/science/article/abs/pii/S1477513121005246
