{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:44:29Z","timestamp":1791870269473,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T00:00:00Z","timestamp":1746835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T00:00:00Z","timestamp":1746835200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To analyze the postoperative complications, reintervention rates, as well as long\u2010term urinary and cosmetic outcomes in our patients who underwent two\u2010stage\n                      <jats:italic>re\u2010do<\/jats:italic>\n                      hypospadias repair.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Files of 122 boys who underwent two\u2010stage surgery for\n                      <jats:italic>re\u2010do<\/jats:italic>\n                      hypospadias repair between June 2001 and October 2017 with &gt;\u20095\u2009years of follow\u2010up were retrospectively reviewed. Demographics, preoperative clinical characteristics, postoperative complications, uroflowmetry findings, the Penile Perception Score (PPS), and the Hypospadias Objective Scoring Evaluation (HOSE) score at the last clinical visit were noted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients had undergone a median 2 (range 1\u20138) prior surgeries. Of these patients, 46.7% had mid penile hypospadias with a poor urethral plate\/uncorrectable chordee, 44.3% had penoscrotal hypospadias, and 9% had scrotal or perineal hypospadias. Lower lip (78, 63.9%), a combination of cheek and lower lip (21, 17.2%), cheek (14, 11.5%), and upper lip (9, 7.4%) were the donor sites for the graft. After a median 121 (range 66\u2013204) months of follow\u2010up, the overall complication rate was 36.8%, and 23.8% required further intervention. Glans dehiscence (12.3%) was the most common complication, followed by urethrocutaneous fistula (10.7%), meatal stenosis (10.7%), residual chordee (6.6%), buried penis or skin deformities (6.6%), distal urethral dehiscence (4.9%), graft contracture after first stage (2.5%), urethral stricture (1.6%), complete urethral dehiscence (0.8%), and urethral diverticulum (0.8%). Median interval from second\u2010stage repair to the repeat intervention for complications was 10 (range 4\u201330) months. According to the HOSE and PPS, almost 90% of the patients denoted functional and cosmetically acceptable outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Two\u2010stage repair is a viable alternative for the most challenging\n                      <jats:italic>re\u2010do<\/jats:italic>\n                      hypospadias cases, with almost 90% satisfaction and a quarter requiring reintervention.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70098","type":"journal-article","created":{"date-parts":[[2025,5,11]],"date-time":"2025-05-11T02:29:38Z","timestamp":1746930578000},"page":"1045-1053","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Two\u2010Stage Repair for\n                    <i>re\u2010do<\/i>\n                    Hypospadias: Results of Over 5\u2010Year Follow\u2010Up"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9900-9301","authenticated-orcid":false,"given":"Orhan","family":"Ziylan","sequence":"first","affiliation":[{"name":"Division of Pediatric Urology, Department of Urology, \u0130stanbul Faculty of Medicine \u0130stanbul University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3578-0732","authenticated-orcid":false,"given":"Ismail","family":"Selvi","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Department of Urology, \u0130stanbul Faculty of Medicine \u0130stanbul University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2828-7942","authenticated-orcid":false,"given":"Muhammet \u0130rfan","family":"D\u00f6nmez","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Department of Urology, \u0130stanbul Faculty of Medicine \u0130stanbul University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9592-6057","authenticated-orcid":false,"given":"Ahmet Bar\u0131\u015f","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Department of Urology, \u0130stanbul Faculty of Medicine \u0130stanbul University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7719-2440","authenticated-orcid":false,"given":"Tayfun","family":"Oktar","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Department of Urology, \u0130stanbul Faculty of Medicine \u0130stanbul University  Istanbul Turkey"},{"name":"Department of Urology, School of Medicine Ko\u00e7 University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,10]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"European Association of Urology Guidelines on Paediatric Urology: The 2024 Update","author":"Radmayr C.","year":"2024"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2009.12.005"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2006.01.009"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2017.07.007"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.10.047"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2015.06.011"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.12.027"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1995.tb07815.x"},{"key":"e_1_2_10_10_1","first-page":"457","article-title":"Age Related Flow Rate Nomograms in a Normal Pediatric Population","volume":"57","author":"Gaum L. 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