Title: Hypospadias Surgery in Children - Multiple Methods and their Outcomes
Authors: Samir Gupta, Rushab Chheda, Achal Gupta
DOI: https://dx.doi.org/10.18535/jmscr/v6i2.208
Abstract
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
