Unusual complications of hypospadias repair: diagnosis and management


  • Rama Kishan Saran Department of Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Kiran Mirdha Department of Gynaecology and Obstetrics, Umaid Hospital and Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Sanya Saran Student, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
  • Rajendra Prasad Takhar Department of Respiratory Medicine, Government Medical College, Kota, Rajasthan, India




Epidermal inclusion cyst, penile swelling, smegma stone, urethral calculi


Background: Epidermal inclusion cyst, smegma stones and urethral calculi of the penis are rare and may result as a late complication of hypospadias repair. This study reported the presentation and management of these late complications.

Methods: A prospective observational study included male patients aged more than 6 years of age, who had undergone hypospadias repair 3-15 years back and presented with slow growing, non-tender, mobile, firm to hard swelling. Histopathological and radiographic examination were done and surgery was used for management of epidermal inclusion cyst, urethral calculi and smegma stone. Patients were followed up for one year, postoperatively.

Results: Out of 15 patients, two (13.3%), four (26.7%) and nine (60%) patients were diagnosed with smegma stones, epidermal inclusion cyst and urethral calculi, respectively. The median (range) age of patients was 17 (8-30) years. Patients were presented with slow growing, non-tender, mobile swelling measuring from 1 cm x 3 cm to 2 cm x 1.5 cm. The average size of epidermal inclusion cyst, and urethral calculi was 2 cm x 2.5 cm x 1.5 cm, and 2 cm x 3 cm, respectively. Treatment were complete excision of cyst and removal of smegma stones by surgery and urethral calculi by dorsal urethrotomy. All patients had an uneventful postoperative period and were asymptomatic up to one year of follow-up.

Conclusion: Results suggest that these complications can be managed with complete excision and surgical removal and care must be taken while performing the hypospadias repair to avoid these unusual late complications in patients.


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How to Cite

Saran, R. K., Mirdha, K., Saran, S., & Takhar, R. P. (2019). Unusual complications of hypospadias repair: diagnosis and management. International Journal of Research in Medical Sciences, 7(9), 3440–3443. https://doi.org/10.18203/2320-6012.ijrms20193926



Original Research Articles