{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:00:45Z","timestamp":1777575645427,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T00:00:00Z","timestamp":1525910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe the surgical approach and outcomes in the treatment of adult patients with complications of childhood hypospadias surgery, as such patients present a significant reconstructive challenge due to the combination of anatomical and cosmetic deformity, which often results in major functional and psychosexual sequelae.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>We analysed prospectively collected data on 79 adults with complications of childhood hypospadias surgery, who were operated on between 2004 and 2016. Of the 79 patients, 48 underwent a two\u2010stage urethroplasty using a buccal mucosa graft, and 31 underwent a one\u2010stage distal urethroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients were followed up using flexible cystoscopy (every 6\u20139 months). The mean (range) follow\u2010up was 48 (12\u201396) months. Of the 48 patients who underwent a two\u2010stage repair, eight (16%) needed a revision of the first\u2010stage graft. In total, nine of the 48 patients (16%) developed fistula requiring closure after the second stage; all but one was closed successfully on the first attempt, whilst one required two attempts before closure. Only two of the 48 patients that underwent a two\u2010stage procedure required a re\u2010do urethroplasty within 3 years. Of the 31 patients who underwent a one\u2010stage repair, six (19%) needed fistula closure, all of which were successful. No patient required a further urethroplasty during follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the significant surgical challenges found in this patient group, excellent long\u2010term functional outcomes can be achieved. As expected there is a need for additional intervention, either for revision of the first stage or to close fistulae and less commonly for further reconstruction for stricture recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14355","type":"journal-article","created":{"date-parts":[[2018,4,19]],"date-time":"2018-04-19T10:36:00Z","timestamp":1524134160000},"page":"673-679","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Contemporary outcomes of hypospadias retrieval surgery in adults"],"prefix":"10.1111","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3676-6860","authenticated-orcid":false,"given":"Reem B.","family":"Aldamanhori","sequence":"first","affiliation":[{"name":"Section of Functional and Reconstructive Urology Department of Urology Royal Hallamshire Hospital Sheffield UK"},{"name":"University of Dammam Dammam Saudi 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