Abstract:
To assess the result of two-stage repair in proximal hypospadies and cases of distal hypospdadias with chordee, revision surgery and in circumcised cases. Prospective study Combined Military Hospital, Kharian and Pnao Aqil, from July 1998 to June 2002. Nineteen patients, with distal as well as proximal hypospadias, underwent two-stage hypospadias repair during the last 04 years. Splitting of glans and full thickness grafting was carried out in the first stage. Tubularization was carried out 3-6 months later and the repair was covered with water proofing layer. The results were evaluated. Distal hypospadias was seen in 13 patients, 06 cases had proximal hypospadisas, 08 patients had undergone repair previously by different techniques and 05 cases were circumcised. Chordee was seen in 12 cases. Common age of presentation was below 5 years. Adequate cosmetic and functional result were achieved in all these cases. Fistula occurred in 02 cases and meatal stenosis was seen in 01 case, which responded to regular dilatation. Two-stage hypospadias repair gives excellent cosmetic and functional results in all cases of proximal hypospadias and cases of distal hypospadias with chordee, revision surgery and circumcised cases.
Page(s):
226-228
DOI:
DOI not available
Published:
Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 13, Issue: 4, Year: 2003