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. Research shows that surgeons and hospitals that treat a large number of patients tend to provide better care and have improved outcomes for treatments and procedures.

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What this means - Complication rates are followed for two years after surgery. These data report complications for surgeries performed in 2012. Some example of complications are urethral fistula, urethral stricture and partial glans dehiscence. 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 shows the number of distal and proximal hypospadias repairs performed in 2012 as well as the two-year post-surgery complications verified by a departmental review.

Related dimensions of care:

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How we provide the best care

  • Our urology surgeons are highly skilled in advanced surgical techniques which result in better hypospadias repair outcomes. They also present and share their results with other centers at national urology conferences
  • 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.