Duckett procedure for children suffered from hypospadias: Outcomes and complications

Objective To analyze indication of Duckett procedure for children suffered from hypospadias and management of its complications. Methods From June 2009 to May 2017, 23 children who suffered from complex hypospadias admitted to department of pediatric surgery underwent Duckett procedure to reconstruct their urethra. The indication of this procedure and the management of its complications were analyzed. Results Of the 23 patients receiving Duckett procedure, their age ranged from 1 to 11 years with an average of 3.85 years old. Twenty cases underwent primary urethral reconstruction, and 3 cases underwent secondary reconstruction. All patients presented with chordee or significant perineal malformation. Fifteen cases presented with severe chordee or penoscrotal transposition with a percentage of 65.22, one patient with refractory hypospadias presented with recurrent chordee, fistula, divertculum, stones and infection, one patient suffered from urethral duplication accompanied with hypospadias, one patient was characterized with intersex and hypospadias. Spongiosum urethral moved backwardly with the correction of chordee. New meatus located at proximal penile in 3 patients with a percentage of 13.04, while meatal sites moved backwardly to penoscrotal junction, intra-scotum and perineal respectively for the other 20 cases with a percentage of 86.96. Nine patients were classified as perineal hypospadias, four of them