Advances in Urology
Volume 2008 (2008), Article ID 150315, 4 pages
doi:10.1155/2008/150315
Abstract
Background. Adult patients with urethral stricture after childhood
hypospadias surgeries are infrequently discussed in the
literature. We report our experience in treating such patients.
Materials and Methods. A retrospective chart review was performed.
From 2002 through 2007, nine consecutive adult patients who had
current urethral stricture and had undergone childhood hypospadias
surgeries were included. All adult urethral strictures were
managed by a single surgeon. Results. Mean patient age was 38.9
years old. The lag time of urethral stricture presentation ranged
from 25 to 57 years after primary hypospadias surgery, with an
average of 36 years. Stricture length ranged from 1 to 17 cm
(mean: 10.3 cm). Open graft-based urethroplasties were performed
in 4/9 cases. Salvage perineal urethrostomy was performed in 2/9
cases. Another 3 cases chose to undergo repeat urethrotomy or
dilatations—none of these patients was cured by such treatment.
Complications included one urethrostomy stenosis and one urinary
tract infection. Conclusion. Urethral stricture may occur decades
after initial hypospadias surgery. It can be the most severe form
of anterior urethral stricture, and may eventually require salvage
treatment such as a perineal urethrostomy. Patients undergoing
hypospadias surgery should receive lifelong follow-up protocol to
detect latent urethral strictures.