Open AccessHYPOSPADIAS REPAIR
Author(s) -
Mumtaz Rasool,
Abid Hameed Sheikh,
Shafqat Ali Tabassum,
Mohammad Mughis Amin
Publication year - 2007
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2007.14.04.4836
Subject(s) - hypospadias , medicine , meatal stenosis , urethroplasty , surgery , coronal plane , dehiscence , anastomosis , urethra , prospective cohort study , penis , anatomy
Place of Study: The Departments of Urology, Paediatric Surgery and Plastic Surgery, Quaid-e-AzamMedical College, Bahawal Victoria Hospital, Bahawalpur. Duration of Study: Jan 1999 to Dec 2004. Design of Study:Prospective. Materials&Methods: Patients admitted with hypospadias in these departments were included in this studyexcept patients with multiple failed repairs previously. Standard procedures were practiced for every type of defect i.e.MAGPI and Mathieu’s repair for coronal hypospadias, Snodgrass urethroplasty for proximal and distal penilehypospadias. Results: The age range observed during this study was 1.5 to 25 years while 64% of patients were lessthan 10 years of age. The type of defect was coronal in 25%, penile in 60%, penoscrotal and perineal in 15% of thepatients. Initial success rate was 78% and overall success rate was 92%. Complications observed were fistulaformation 7% , stenosis of anastomotic site 7% and dehiscence of repair 3%. Conclusion: Thorough evaluation ofurethral and penile malformation brings best outcome of surgery for hypospadias. Hypospadias repair should be offeredto the child before school going age so as to prevent psychological impacts of genital malformations.