[Urethroplasty for hypospadias. Complications of one-stage and several-stage operations (author's transl)].

The author, who's considerable personal experience is based on 411 cases of hypospadias in children operated at the Mayo Clinic (Rochester, Minnesota, U.S.A.), emphasizes: 1 The importance of a strict assessment of results, considering not only fistulas and apparent cosmetic results, but also stenoses of urethroplasty, sacculations, meatic stenoses and stricture, and insufficient correction of the penile curve. 2 The capacity to choose, in each particular case, between several procedures. 3 The unquestionable security offered by correction in three separate stages: straightening of the penis, urethroplasty by burrowing in the scrotum then resurfacing. 4 The difficulty of re-operation which leads to 60% of complications and needs several surgical stages. In short, you can't improvise the treatment of hypospadias.