Background and Aims: Hypospadias is a complex congenital deformity which requires meticulous surgical repair. Several techniques have been advocated during the past 150 years to address the construction of neourethra. This study highlights the surgical techniques and experience with primary hypospadias cases along with complications encountered at a tertiary care centre.

Materials and Methods: A total of 100 patients aged from 1 to 25 years underwent primary hypospadias repair in a period of 1 yr. 4 major procedures were studied magpi, snodgrass tubularised incised plate urethroplasty, Duckett’s Tvif procedure and 2-staged procedure. Outcome of these surgeries were determined by follow up over the study period.

Results: Of the total 100 patients included in the study, it was found that mid penile variety of hypospadias was most common type of hypospadias. Cryptorchidism was seen in 13% cases with hypospadias followed by inguinal hernia. Local edema was most common early presentation while urethrocutaneous fistula was most common late complication present in 23% cases. Of these 23 cases, 18 cases required redo surgery.

Conclusion: Hyposapdias surgery is regarded as complicated reconstructive procedure in children with acceptable success.

Keywords: hypospadias , TIP urethroplasty

1. Baskin L.S., et al.: Urethral Seam Formation and Hypospadias, Cell Tissue Res. 2001; 305: p. 379-387.
2. Baskin L.S., Duckett, 1.W. and Lue, T.F.: Penile curvature, Urology 1996; 48(3): p. 347-56.
3. Baskin, L. and Duckett, J.: Hypospadias: Long-Term Outcomes, in Pediatric Surgery and Urology: M. Pierre D.E., Mouriquand Editor. W.B. Saunders 1998: London. p.559-567.
4. Mohajerzadeh L., Ghoroubi J., Roshanzamir F., Alizadeh H.: Outcome of tubularized incised late urethroplasty: A single center experience with 307 cases. Iranian Journal of Paediatric surgery 2015;1(1): 22-27.
5. Shima et al.: Developmental anomalies associated with hypospadias. J Urol. 1979; 122(5):  619-21.
6. Wu WH, Chuang JH, Ting YC, Lee SY, Hsieh CS.: Developmental anomalies and disabilities associated with hypospadias. J Urol. 2002; 168(1): 229-32.
7. Khan M., et al. Hypospadias repair: A single center experience. Plastic Surgery International 2014: 1-7.
8. William Mensah et al.: Hypospadias surgery at Korle-Bu Teaching hospital, Ghana: A review of 36 patients. African Journal of Paediatric Surgery 2007;4(2).
9. Spinoit AF, Poelaert F, Groen LA, et al.: Hypospaidas repair in a single reference centre: Long term follow up is mandatory to detect the real complication rate. The Journal of urology 2013.
10. Aslam M, Obaidullah, Majid A.: Two stage Aivar Bracka repair in Hypospadias salvage cases. JPMI 2006; 20(2): 203-6.

Samir Gupta

Department of Surgery, GR Medical College Gwalior MP 474009

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.