Pd49-05 Identifying Risk Factors for Multiple Re-Do Repairs in Hypospadias Patients With Complication: A Single Institution Review of 806 Patients

You have accessJournal of UrologyPediatrics V (PD49)1 May 2024PD49-05 IDENTIFYING RISK FACTORS FOR MULTIPLE RE-DO REPAIRS IN HYPOSPADIAS PATIENTS WITH COMPLICATION: A SINGLE INSTITUTION REVIEW OF 806 PATIENTS Karl F. Godlewski, Sameer Mittal, Nathan Hyacinthe, Katherine Fischer, Margaux Johnson, Jason Van Batavia, Dana Weiss, Arun Srinivasan, Aseem Shukla, Thomas Kolon, Mark Zaontz, and Christopher Long Karl F. GodlewskiKarl F. Godlewski , Sameer MittalSameer Mittal , Nathan HyacintheNathan Hyacinthe , Katherine FischerKatherine Fischer , Margaux JohnsonMargaux Johnson , Jason Van BataviaJason Van Batavia , Dana WeissDana Weiss , Arun SrinivasanArun Srinivasan , Aseem ShuklaAseem Shukla , Thomas KolonThomas Kolon , Mark ZaontzMark Zaontz , and Christopher LongChristopher Long View All Author Informationhttps://doi.org/10.1097/01.JU.0001008752.72292.d7.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Despite surgeons best efforts complications are an inevitable consequence in hypospadias surgery. We sought to review our institution's management of hypospadias complications over the last 30 years. We hypothesize that certain complications or initial repair types put patients at greater risk of having multiple reoperative surgical procedures. METHODS: We performed a retrospective review of a prospectively collected hypospadias database to identify patients that had either been referred for hypospadias complication or developed a complication after repair at our institution. We collected information on initial meatal location, initial procedure type, whether initial procedure was single or multistage, complication type, total number and number of re-do procedures. A logistic regression determined the odd ratio of having more than one re-do procedure based on the complication or initial procedure type. RESULTS: 806 patients underwent repair of hypospadias complication, mean follow-up of 6.7 years – 347 distal, 135 midshaft, 324 proximal (188 single stage repairs, 136 multistage repairs). 203 patients had their initial surgery at an outside institution, 603 were initially repaired at our institution. Phenotypic and surgical characteristics are detailed. The mean number of redo surgeries for single stage proximal repair was 1.99, multistage proximal 1.73, midshaft 1.52, and distal 1.3. On logistic regression urethral stricture was a significant risk factor for more than one re-do hypospadias surgery, odds ratio of 4.07 (p1 hypospadias repair. Single stage proximal repair had increased odds (OR 1.47) for more than one re-do surgery, however this was not significant p=0.092. CONCLUSIONS: In this large cohort of hypospadias complication repairs, urethral stricture and recurrent curvature led to a significantly higher number of reoperative surgeries. No single initial surgical repair type was associated with an increased risk for more than one corrective hypospadias surgery. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1051 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Karl F. Godlewski More articles by this author Sameer Mittal More articles by this author Nathan Hyacinthe More articles by this author Katherine Fischer More articles by this author Margaux Johnson More articles by this author Jason Van Batavia More articles by this author Dana Weiss More articles by this author Arun Srinivasan More articles by this author Aseem Shukla More articles by this author Thomas Kolon More articles by this author Mark Zaontz More articles by this author Christopher Long More articles by this author Expand All Advertisement PDF downloadLoading ...