{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:53:36Z","timestamp":1787032416360,"version":"build-2736575974"},"reference-count":13,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dan Med J"],"abstract":"<jats:p>METHODS. This study aims to describe the presenting complaints, clinical findings and management strategies in men with a history of prior hypospadias surgery. Men aged 15 years or older, referred with complaints related to hypospadias, were identified through the electronic patient record system. Data were collected over a ten-year period.\n\nRESULTS. Of 201 referrals, 136 men had a history of hypospadias surgery, with a median age at referral of 33 years (range: 15-72). The most common presenting complaints were urethral stricture (n = 63) or meatal stenosis (n = 14), which were more frequently observed in older patients. Other presenting complaints were urethrocutaneous fistula (n = 24), preputial problems (n = 8) and penile curvature (n = 7). An additional 20 men presented with various complaints such as spilt urine stream, episodes of haematuria, anejaculation or coital pain. Management strategies included reconstructive procedures (e.g., single or staged urethroplasty), minor procedures (such as Nesbit procedure or fistula closure), endoscopic interventions (urethral dilation or urethrotomy) or counselling.\n\nCONCLUSIONS. Complaints following previous hypospadias repair are present across the entire adult age span. Therefore, caregivers of young boys must be informed following hypospadias surgery to seek medical evaluation whenever hypospadias-related complications are suspected, even decades after reconstruction.\n\nFUNDING. None.\n\nTRIAL REGISTRATION. Not relevant.<\/jats:p>","DOI":"10.61409\/a08240506","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T05:20:42Z","timestamp":1742966442000},"page":"1-6","source":"Crossref","is-referenced-by-count":2,"title":["Management of complications after hypospadias repair during childhood"],"prefix":"10.61409","author":[{"given":"Martin","family":"Skott","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina L.","family":"Leunbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gitte M\u00f8ller","family":"Hvistendahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yazan F.","family":"Rawashdeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"40208","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Baskin LS, Ebbers MB. Hypospadias: anatomy, etiology, and technique. J Pediatr Surg. 2006;41(3):463-72. https:\/\/doi.org\/10.1016\/j.jpedsurg.2005.11.059","DOI":"10.1016\/j.jpedsurg.2005.11.059"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Leunbach TL, Berglund A, Ernst A et al. Prevalence, incidence, and age at diagnosis of boys with hypospadias: a nationwide population-based epidemiological study. J Urol. 2025;213(3):350-360. https:\/\/doi.org\/101097JU0000000000004319","DOI":"10.1097\/JU.0000000000004319"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"van der Zanden LFM, van Rooij IALM, Feitz WFJ et al. Aetiology of hypospadias: a systematic review of genes and environment. Human Reproduction Update. 2012;18(3):260-83. https:\/\/doi.org\/10.1093\/humupd\/dms002","DOI":"10.1093\/humupd\/dms002"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Springer A, Tekgul S, Subramaniam R. An update of current practice in hypospadias surgery. Eur Urol Suppl. 2017;16:8-15. https:\/\/doi.org\/10.1016\/j.eursup.2016.09.006","DOI":"10.1016\/j.eursup.2016.09.006"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Leunbach TL, O'Toole S, Springer A et al. A systematic review of core outcomes for hypospadias surgery. Sex Dev. 2020;13(4):165-170. https:\/\/doi.org\/10.1159\/000504973","DOI":"10.1159\/000504973"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Tack LJW, Springer A, Riedl S et al. Adolescent and young adult urogenital outcome following childhood hypospadias repair: perfection revisited. J Urol. 2021;206(3):734-744. https:\/\/doi.org\/10.1097\/JU.0000000000001869","DOI":"10.1097\/JU.0000000000001869"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Barbagli G, Angelis MD, Palminteri E et al. Failed hypospadias repair presenting in adults. Eur Urol. 2006;49(5):887-95. https:\/\/doi.org\/10.1016\/j.eururo.2006.01.027","DOI":"10.1016\/j.eururo.2006.01.027"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Duckett JW Jr. Hypospadias. Pediatr Rev. 1989;11(2):37-42. https:\/\/doi.org\/10.1542\/pir.11-2-37","DOI":"10.1542\/pir.11-2-37"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Leunbach TL, Skott M, Ernst A et al. Referral patterns, clinical features and management of uncorrected hypospadias in a series of adult men. J Pediatr Urol. 2022;18(4):480.e1-480.e7. https:\/\/doi.org\/10.1016\/j.jpurol.2022.06.008","DOI":"10.1016\/j.jpurol.2022.06.008"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Barbagli G, Perovic S, Djinovic R et al. Retrospective descriptive analysis of 1,176 patients with failed hypospadias repair. J Urol. 2010;183(1):207-11. https:\/\/doi.org\/10.1016\/j.juro.2009.08.153","DOI":"10.1016\/j.juro.2009.08.153"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Snodgrass W, Bush N. Do new complications develop during puberty after childhood hypospadias repair? J Urol. 2022;208(3):696-701. https:\/\/doi.org\/10.1097\/JU.0000000000002738","DOI":"10.1097\/JU.0000000000002738"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Aldamanhori R, Chapple CR. Management of the patient with failed hypospadias surgery presenting in adulthood. F1000Res. 2017;6:1890. https:\/\/doi.org\/10.12688\/f1000research.11980.1","DOI":"10.12688\/f1000research.11980.1"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Bracka A. The role of two-stage repair in modern hypospadiology. Indian J Urol. 2008;24(2):210-8. https:\/\/doi.org\/10.4103\/0970-1591.40618","DOI":"10.4103\/0970-1591.40618"}],"container-title":["Danish Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T13:18:56Z","timestamp":1754486336000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/dmj\/A08240506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,1]]},"references-count":13,"URL":"https:\/\/doi.org\/10.61409\/a08240506","relation":{},"ISSN":["2245-1919"],"issn-type":[{"value":"2245-1919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,1]]}}}