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Prof. Dr. Ali Avanoğlu
Hypospadias Surgery • Recurrent Cases

Perineal Urethrostomy

Perineal urethrostomy is the permanent opening of the urinary channel into the perineum (behind the scrotum). Rather than rebuilding the entire channel, it aims to provide reliable, trouble-free urination.

Who this is forThose who have had many failed repairs
Reading≈1 min
ByProf. Dr. Ali AvanoğluUpdated
This page is part of hypospadias surgery.Read the full treatment overview on the hub page
where it should bePerineal
underside view
01 · When is it considered?02 · Daily life03 · Is it permanent?
In brief3 madde
  • When is it considered?: When no usable tissue remains after multiple failed repairs.
  • Daily life: Urination is done sitting down.
  • Is it permanent?: It's planned as permanent, but if conditions become favorable later, channel repair can be reconsidered.
01

When is it considered?

  • When no usable tissue remains after multiple failed repairs.
  • When most of the channel is diseased or covered in stricture.
  • When the patient's priority is predictable urination rather than appearance.
  • When the risk carried by further surgeries is considered unacceptable.
02

Daily life

Urination is done sitting down. This means giving up the habit of standing to urinate, and it's the point that needs the most discussion when making the decision.

  • In exchange, the cycle of recurrent stricture, infection, and surgery comes to an end. For many patients, this is a significant improvement in quality of life.
03

Is it permanent?

It's planned as permanent, but if conditions become favorable later, channel repair can be reconsidered. This is a detail that needs to be discussed from the outset.

Hypospadias Surgery video guide19 short videos, in order
Frequently asked questions
Is this giving up?
No. It's a deliberate choice made at the end of repeated failed repairs, one that provides predictable, trouble-free urination. In some cases, it is the right option.
←Previous • Recurrent CasesLichen Sclerosus (BXO)Next • Recurrent CasesRedo Hypospadias Surgery→
Related pagesFull index →
Recurrent CasesAdult Redo Hypospadias SurgeryThis is a picture where someone has had more than one procedure and problems have persisted. This group is called "salvage surgery"; the plan is built not around standard techniques but around an inventory of the tissue that remains.Hypospadias in AdultsUrethral Stricture After Hypospadias in AdultsThe channel has narrowed following a repair done years earlier. This is the most common late complication of hypospadias surgery, and it usually appears during adolescence or adulthood.Recurrent CasesLichen Sclerosus (BXO)If white, hardened, shiny tissue is seen around the urinary opening, lichen sclerosus may be present. This finding isn't a minor detail — it's a diagnosis that changes the entire surgical plan.Recurrent CasesRedo Hypospadias SurgeryMultiple procedures have already been performed, and the problem persists. This is the most demanding area of hypospadias surgery, and by this stage the plan is no longer built around standard techniques but around an inventory of the tissue that remains.
Hypospadias Surgery topic clustersMain treatment page →
Basics 8Surgery in Children 8Surgical Techniques 5After Surgery 9Recurrent Cases 4Hypospadias in Adults 8Follow-up and Assessment 5
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