Journal List > Korean J Urogenit Tract Infect Inflamm > v.9(2) > 1059942

Kim, Kim, Kim, Cho, and Min: Recurrent Urinary Tract Infection from Urethral Stricture and Urethral Hair Growing after Hypospadias Repair Surgery

Abstract

Despite successful hypospadias repair surgery, complications may occur. We report on a case of recurrent urinary tract infection from urethral stricture and urethral hair growth after hypospadias repair surgery. A 33-year-old man who first underwent hypospadias repair surgery at the age of seven underwent two more visual internal urethrotomy operations afterward. He was referred to our hospital because of voiding difficulty, dysuria, and residual urine sense. His urethral meatus was located at 1 cm proximal ventral sulcus from the glans. We found the urethral stricture and one hair in the urethra at the 2 cm proximal portion from the urethral meatus by retrograde urethrography and urethroscopy. Bacteriuria was found on urine culture, thus, we resolved the problems with soundation, epilation, and antibiotic therapy. However, the patient kept experiencing these problems recurrently; therefore, we managed his problems by recurrent urethral soundation, hair epilation, and antibiotic treatment with three years of regular followup.

REFERENCES

1. Klip H, Verloop J, van Gool JD, Koster ME, Burger CW, van Leeuwen FE. OMEGA Project Group. Hypospadias in sons of women exposed to diethylstilbestrol in utero: a cohort study. Lancet. 2002; 359:1102–7.
crossref
2. Kim MK, Kim YG. Hypospadias repair: recent concept and development in surgical techniques. Korean J Urol. 2008; 49:1059–66.
crossref
3. Cook A, Khoury AE, Neville C, Bagli DJ, Farhat WA, Pippi Salle JL. A multicenter evaluation of technical preferences for primary hypospadias repair. J Urol. 2005; 174:2354–7.
crossref
4. Nuininga JE, DE Gier RP, Verschuren R, Feitz WF. Longterm outcome of different types of 1-stage hypospadias repair. J Urol. 2005; 174:1544–8.
crossref
5. Park KJ, Choi H. Assessment of longterm hypospadias repair results. Korean J Pediatr Urol. 2010; 2:81–6.
6. Jones EA, Freedman AL, Ehrlich RM. Complications of hypospadias repair. Taneja SS, Smith RB, Ehrlich RM, editors. Complications of urologic surgery. 3rd ed.Philadelphia: Saunders;2001. p. 592–601.
7. Devine CJ Jr, Franz JP, Horton CE. Evaluation and treatment of patients with failed hypospadias repair. J Urol. 1978; 119:223–6.
crossref
8. Cohen S, Livne PM, Ad-El D, Lapidoth M. CO2 laser desiccation of urethral hair post-penoscrotal hypospadias repair. J Cosmet Laser Ther. 2007; 9:241–3.
9. Beiko D, Pierre SA, Leonard MP. Urethroscopic holmium: YAG laser epilation of urethral diverticular hair follicles following hypospadias repair. J Pediatr Urol. 2011; 7:231–2.
10. Crain DS, Miller OF, Smith L, Roberts JL, Ross EV. Transcutaneous laser hair ablation for management of intraurethral hair after hypospadias repair: initial experience. J Urol. 2003; 170:1948–9.
crossref

Fig. 1.
Urethral meatus is located at 1 cm proximal ventral sulcus from glans.
kjutii-9-122f1.tif
Fig. 2.
The urethroscopic findings shows focal urethral stricture.
kjutii-9-122f2.tif
Fig. 3.
The urethroscopic findings shows a urethral stricture and urethral hair.
kjutii-9-122f3.tif
Fig. 4.
The retrograde urethrograpy reveals a focal stricture at anterior urethra and extravasation at bulbous urethra.
kjutii-9-122f4.tif
Fig. 5.
The voiding cysto-ureterography reveals no vesicoureteral reflux and normal bladder and urethrogram finding.
kjutii-9-122f5.tif
TOOLS
Similar articles