Quality and Outcomes Reports - Urology
Hypospadias Repair - Complication Rate
Why we measure it - Hypospadias repair is surgery to correct a birth defect in boys in which the urethra (the tube that carries urine from the bladder to the outside of the body) does not end at the tip of the penis. Instead, it ends on the underside (distal). In more severe cases (proximal), the urethra opens at the bottom of the penis, or even in the scrotum.
What this means - Complication rates are followed for two years after surgery. These data report complications for surgeries performed in 2009. Our complication rates are at or better than national norms. A national registry of outcomes for hypospadias repairs does not exist but these outcomes compare favorably to single institution reports. Proximal repairs are more complicated technically and there is good evidence to suggest that the tissues of the penis have impaired healing.
About the data - This table reflects the volume of distal and proximal hypospadias repairs from our registration system as well as the two-year post-surgery complications verified by a departmental review.
Related dimensions of care:
What we're doing to provide the best care:
- We discuss any complications as a group to learn best practices and improve care.
- Two of our pediatric urological surgeons recently attended a national conference on hypospadias repairs and shared this information with the group.
- Our pediatric urological surgeons are fully involved in each step, from preoperative assessment, through the procedure and to postoperative care.
- Prenatal counseling for congenital anomalies of the urinary tract is offered in a multidisciplinary setting in a combined evaluation with perinatologists and neonatologists through the Fetal Concerns Center of Wisconsin.
Patients and families:
- If you cannot keep a scheduled appointment, please call Central Scheduling at (877) 607-5280 or (414) 607-5280 as soon as possible to reschedule so another child can be seen.
- Come 15 minutes before your appointment so we can ask about health information before you see the doctor.
- Check with your insurance provider before your visit to see if a referral may be needed to see a specialist at Children's Hospital.
- Referring physicians can access our specialists for consultation or transport 24 hours a day. Call our physician referral line at (800) 266-0366.
- Health care providers from outside of our southeastern Wisconsin service area are encouraged to use our web-based
e-Consult service. This service is available for non-urgent patient cases only and gives providers access to our specialists to review patient cases, obtain medical advice or second opinions, and receive care recommendations for rare symptoms and illnesses.
e-Consult is not to be used by the general public, parents/guardians or families.
- Care guidelines for medical professionals
- Educational materials
- Pocket Directory
If you have questions about this information, email us or call (414) 266-6556.