Outcomes of Hypospadias Repair in Older Children: A Prospective Study

Purpose: The American Academy of Pediatrics recommendation is to perform hypospadias repair at age 6 to 12 months. However, our patient population included a significant proportion of patients in adolescence and beyond undergoing primary repair. We report a comparison of outcomes in patients in different age groups.Materials and Methods: We prospectively report on patients with distal hypospadias who underwent primary repair at our institution during 7 months. Study parameters included age, degree of hypospadias, surgical technique and the complications rate.Results: A total of 61 patients were included in analysis. All cases underwent repair using the tubularized incised plate technique. More proximal hypospadias and different repair techniques were excluded from study. Patients were classified by age, including group 1–25 (40%) 6 months to 2 years old, group 2–17 (28%) 2.2 to 3.7 years old and group 3–19 (32%) 4 years old or older. Only 6 patients (9.8%) had postoperative complications and all were in g...