Abstract
Iatrogenic hypospadias is a preventable injury to the ventral male urethra produced by the downward pressure of an indwelling urethral catheter. In spite of avoiding long-term urethral catheterisation, we have acquired 16 patients with this injury in the last 9 years either in our unit or discovered in patients referred to our unit. Although not a life endangering complication, the majority of such patients find the penile appearance so produced unacceptable. We have reconstructed any penis that has more than meatal cleavage in a total of six patients, with good results. The majority of patients have been fully investigated so that an alternative therapy to catheterisation may be provided. Where possible a catheter free state has been achieved. If not, a suprapubic catheter has been inserted. Those not reconstructed were due to reasons of ill health, and in two instances, due to patient choice.
Similar content being viewed by others
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Andrews, H., Nauth-Misir, R. & Shah, P. Iatrogenic hypospadias–A preventable injury?. Spinal Cord 36, 177–180 (1998). https://doi.org/10.1038/sj.sc.3100508
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.sc.3100508
Keywords
This article is cited by
-
Catheter-induced urethral injury and tubularized urethral plate urethroplasty in such iatrogenic hypospadias
African Journal of Urology (2020)