Reconstruction of the urethra and penis in hypospadias according to Horton-Devine.

The report is based on the author's clinical experience with 244 patients seen in the clinic from 1st January 1970 to 30th of September 1979 using the Horton-Devine's one-stage repair of hypospadias. The method was employed in 86 boys with all types of hypospadias. A system of classification for evaluating the operative results is presented. Each operative result is judged from the functional and cosmetic point of view. 50% of the patients were operated on only once with excellent results. The rest of the patients had some complications and needed complementary simple surgical treatment and in 8 cases reoperation. However, even these cases attained excellent final results. Only one patient with scrotal hypospadias was a failure with this method. 99% of all operated patients attained a penis of normal appearance with conic shaped glans, meatus in the sagittal direction on the tip, and normal micturition. Evaluation of the sexual function of the penis is not yet possible. A favourable anatomical appearance and functional result is an important prerequisite for undisturbed sexual life. The Horton-Devine's method for repair of hypospadias demands exact surgical technique and high standard of postoperative care. The results achieved by the method are excellent.