Distal hypospadias in the adult
David P. Wood, MD
Robert Kay, MDAddress reprint requests to R.K., Section of Pediatric Urology, The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, Ohio 44195.
The majority of patients with distal hypospadias undergo surgical reconstruction in childhood for social, emotional, and technical reasons. Rarely, patients with hypospadias do not receive repair during childhood and seek surgical treatment as adults. The authors recently performed reconstruction on two adult patients with primary distal hypospadias. One patient had voiding problems, necessitating sitting, and the other patient desired repair for cosmetic reasons. In performing the surgical repair, the authors observed that the amount, as well as the elasticity, of the redundant foreskin was less in adults than in children. Urologists with a full repertoire of surgical skills can expect excellent results in patients with primary distal hypospadias.