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Summary: Hypospadias is a common condition affecting approximately one in 300 boys in Scotland. The functional and aesthetic outcome of the many different techniques of repair are being analysed in increasingly critical fashion. However, few techniques have been published with more than short-term follow-up data. The modified Bretteville technique is a two-stage technique that can be used for all degrees of severity of hypospadias. It has certain advantages over other single- and two-stage techniques. We present the midterm results of 74 hypospadias corrections performed by using the modified Bretteville technique. The majority of hypospadias were distal (93%), but the series includes patients with mid-shaft and proximal deformity. The mean follow-up period was 67 months (range: 5–126). The average number of procedures per patient was 2.35, and 78% of patients had only two procedures. The overall fistula rate was 5.4% and the stenosis rate was 6.8%, though this figure has fallen to 2.6% for the fistula rate (n =38) and 0% for the stenosis rate (n =38) over the most recent 5-year follow-up period. One patient needed re-repair using a Bracka technique. We believe that the modified Bretteville technique is a reliable technique for proximal, as well as distal, hypospadias with an excellent cosmetic outcome. [Copyright &y& Elsevier]

Rhinophyma is a relatively common condition in the west of Scotland. The Canniesburn Plastic Surgery Unit receives 12 to 13 new patients per year for surgical treatment. The reported incidence of simultaneous carcinoma in the setting of rhinophyma is on the order of 15 to 30 percent. There are conflicting reports about the association between alcohol and rhinophyma in the literature, and these are supported with little or no statistical evidence. Retrospective epidemiologic data on 45 cases of rhinophyma are presented. An audit of case notes was performed to examine histology and also alcohol consumption in these cases. The authors found no coincidental malignancies at the time of surgery, which is contrary to many previous publications. The alcohol consumption of the rhinophyma cases was compared with that of a control group that consisted of 48 men presenting for blepharoplasty. The series did not demonstrate a positive association between alcohol and rhinophyma when compared with a similar cohort of patients presenting for blepharoplasty surgery (p > 0.20) or with statistics available from the Scottish Health Survey.