Experience with 1-Stage Repair of Hypospadias and Chordee Using Free Graft of Prepuce

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Abstract
From August 1978 to September 1987 a total of 103, 1-stage hypospadias-chordee operations was performed using a free graft of prepuce by the method of Devine and Horton. There were 94 primary cases and 9 secondary cases in which prior operations had been done. Chordee was mild in 11 patients, moderate in 67 and severe in 25. The meatus was at the distal shaft in 56 patients, midshaft in 34 and penoscrotal in 13. All patients underwent temporary perineal urethrostomy diversion of the urine. Postoperative complications included 6 fistulas that required closure and 3 meatal stenoses treated by meatotomy but no strictures, residual chordee or other complications. We found that the Devine-Horton technique gave an essentially normal-appearing penis with a low over-all complication rate.

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