Hypospadias Repair Complications &
Hypospadias Surgery Risks
Hypospadias repair complications are many and occur often after hypospadias surgery done outside Sava Perovic Foundation.
The incidence of hypospadias repair complications increases with “severity” of hypospadias and the number of surgical attempts.
As the official journal of the Société Internationale d'Urologie explains: “Complications after hypospadias surgery are frequent.” Find the full list below.
But most importantly, there are: “statistically significant differences in complication rates between operating surgeons.”
The main factors influencing complications?
- “chosen technique” and
- “the experience of the surgeon.”
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The University Children’s Hospital of the University Medical Center in Utrecht, The Netherlands wanted to find out how reality “compared with the literature”. The conclusion of their extremely frank assessment? The facts do not match the good results being published. This is true worldwide. Of course, some patients get good results but plenty of others do not. (Urology, Volume 70 (1) July 2007 pp 148-152)
Hypospadias repair complications are long-term, long lasting, and have a lifelong impact, negatively affecting the sexual function and ability to urinate (20% ±) of adult men who got surgery as a child. More than 40% of patients will have problems with erotic sensation, erection and ejaculation.(World Journal of Urology, Volume 24 (3), pp 240-243)
The immediate, short-term and long-term hypospadias repair complications mentioned below are NOT to be expected from the expert hands of Dr Rados Djinovic (pronounced RAH-DOSH JIN-O-VICH) but are commonly reported complications resulting from hypospadias surgery done by pediatric urologists and urologic surgeons around the world, including North America and Europe.
- new or recurring bent penis: 59% ± (medical jargon: “recurrent chordee” or “penile curvature”)
- difficulty urinating because of urethral narrowing: 42-79% ± (medical jargon: “better voiding”, “significantly higher urinary flow rate”, “residual urethral stricture”, “iatrogenic bulbar stricture”)
- new holes in wrong places: 39% ± (medical jargon: “hypospadias fistula”)
- residual hypospadias 37% ±
- skin deficiency 31% ±
- glans deformity 22%
- penile scrotalization 13%
- abnormal pouches branching off urethra 8% (medical jargon: “diverticulum”)
- iatrogenic bulbar stricture 6%
- leaking urine: 9%± (medical jargon: “better voiding”)
- bladder spasms
- sore ranging to severely painful
- bleeding
- hematomas
- infection
- swelling
- discoloration, “blue penis”
- nausea
- vomiting
- fever
- bad-smelling drainage from incisions
- split open wound (medical jargon: “dehiscence”)
- total blockage of urine: 9%± (medical jargon: “urethral stenosis”)
- extensive, thick, inflexible scarring
- Balinitis Xerotica Obliterans (BXO)
- flap loss
- unattractive aesthetic result, abnormal appearance
- multiple subsequent surgical attempts — 2, 3, 4 or more operations up to as many as 22 in some cases (additional surgery = decreasing success rate)
- surgeon caused deformity or disfigurement (medical jargon: “iatrogenic injury”, not “iatrogenic hypospadias” which is preventable urethral injury similar to but is NOT hypospadias)
- pain and/or difficulty urinating
- frequent urination with little advanced notice
- a weak urine stream
- a spray instead of a stream
If the complications don't show up sooner, they will show up later and usually more than one type.
When they do, you are welcome to come to the City of Belgrade to get them solved. We welcome patients who have suffered bad surgical experiences anywhere in the world to come and have Dr Djinovic solve both the original hypospadias problem and overcome as many of bad effects of the previous failed surgeries as possible.
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