An audit of single stage hypospadias repair at Ayub Hospital Complex, Abbottabad. | [Journal of Ayub Medical College • 2004]

Author(s):

1. Irfan U. Khattak: Department of Surgery, Ayub Medical College & Hospital Complex, Abbottabad, Pakistan

2. Mohammad Akbar: Department of Surgery, Ayub Medical College & Hospital Complex, Abbottabad, Pakistan

3. Mohammad Nawaz: Department of Surgery, Ayub Medical College & Hospital Complex, Abbottabad, Pakistan

4. Al-Saleh Ali: Department of Surgery, Ayub Medical College & Hospital Complex, Abbottabad, Pakistan

5. Bakhmal Noor: Department of Surgery, Ayub Medical College & Hospital Complex, Abbottabad, Pakistan

6. Ziaur Rehman: Department of Surgery, Ayub Medical College & Hospital Complex, Abbottabad, Pakistan

Abstract:

Background: Single-stage hypospadias repair is increasingly being performed. We report our experience at a general surgical unit. Methods: The first one hundred repairs are included in this observational study, set up to evaluate our results. Hypospadias was graded as distal, penile shaft or peno-scrotal, with or without chordee. A single stage procedure of Urethral plate elevation, excision of fibrous tissue with preputial onlay flap was used in all patients. Results: First 100 operated patients are included in this study. Frequency of major complications was 33% including fistula (17%), meatal stenosis (7%), premature tube dislodgment (3%), epidermal sloughing and persistent chordee (2% each), and retained tube and torsion penis (1% each). Fistula rate was high (17%). Success in fistula repair was low (53%). In five patients (5%) the urethral plate was transected as it was too short and fibrosed. Conclusions: Patients presented early. This procedure may successfully relieve chordee except in peno-scrotal cases. Fistula is a common complication. Early fistula repair may improve outcome. One fourth of the children had a poor cosmetic result. It was not a major concern for parents.

Page(s): 21-25

DOI: DOI not available

Published: Journal: Journal of Ayub Medical College, Volume: 16, Issue: 4, Year: 2004

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