Although meatal stenosis
has not been reported in the literature, we have left the urethral meatus wide.
Post-operative stream was noted and complications like flap necrosis, urethrocutaneous fistula, meatal stenosis
, stricture, recurrent chordee and penile torsion were documented.
7 Early postoperative complications noted are: urethrocutaneous fistula in 20%, meatal stenosis
Symptomatic meatal stenosis
will often require a dilatation or a meatotomy.
Proximal hypospadias repair has significant morbidity like urethrocutanous fistula, wound dehiscence and meatal stenosis
When their origin is congenital, it is essentially due to posterior urethral valves or meatal stenosis
The detected anomalies were webbed penis, penile torsion, hypospadias, chordee without hypospadias and meatal stenosis
Some 10-20% of boys circumcised neonatally develop meatal stenosis
, a narrowing of the urethral opening that requires intervention.
We also recorded and evaluated the complications including wound infections, development of meatal stenosis
, urethrocutaneous fistula formation, recurrent stricture, erectile dysfunction, penile chordee or deformity, urethral diverticula formation, urinary incontinence or other urinary dysfunctions, lower limb complications due to lithotomy position, and buccal donor site complications.
Of the 55 patients who received complete two-stage hypospadias repair, 13 had single urethrocutaneous fistula, 4 had multiple urethrocutaneous fistula, two patients had meatal stenosis
, one patient had urethral stricture and one patient had wide meatal opening.
Late complications include inadequate removal of skin, skin bridges, chordee, epidermal inclusion cyst, urethrocutaneous fistula, and meatal stenosis
Painful trigone irritation was common and distressing in 12(40%) patients in group II which was treated by antispasmodics in 07 patients while in 05 patients it resulted in early catheter removal and subsequent development of urethrocutaneous fistula in 01 patient and meatal stenosis
in 01 patient.