Hypospadias surgery in England: Higher volume centres have lower complication rates

This study has found a clear relationship between caseload volume and complications following hypospadias surgery. Furthermore, there is significant variability between centres in terms of their surgical outcomes. Taken together these results suggest that surgeons, particularly those in centres with small caseloads should assess their results against such benchmarks when evaluating the service they provide.233Figure. Difference in complication rates between high volume and low volume centres. There is a significant difference in complication rates between high volume and low volume centres (17.5% vs. 25%, p = 0.01).