Repair of hypospadias using a bladder mucosal graft in 76 cases.

A bladder mucosal graft was used to repair hypospadias in 76 patients. Indications included 19 hypospadias cripples and 57 primary repairs. Of the operations 53 were completely successful, while 20 patients required a secondary minor procedure and 3 required more than a minor procedure. There were no cases of stenosis of the proximal anastomosis. Attention is focused on certain points of the technique to avoid fistulas and meatal problems. Mucosal grafts provide excellent functional and cosmetic results with only a small percentage of complications. Therefore, we use a mucosal graft not only in patients without available preputial skin but also for primary repair when a flip-flap technique is not possible.