Urethral 'cripples': two-staged procedures.

PURPOSE OF REVIEW: To review the current literature on staged procedures in patients with previous urethral interventions ('urethral cripples').

RECENT FINDINGS: Five studies published during the past 18 months could be identified, the majority with short-term follow-up and small patient numbers. Four studies investigated the outcome after redo surgery in hypospadias patients, one study after urethral stricture disease.

SUMMARY: The few data published suggest acceptable complication rate and success rate for surgical outcome. Long-term and prospective data with special respect to sexual function, patient satisfaction, and quality of life are still lacking.