Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience

Aisuodionoe-Shadrach, Oseremen Inokhoife; Atim, Terkaa; Eniola, Bolarinwa Sefiu; Ohemu, Alexander Akogwu

doi:10.4103/0189-6725.150977

Cited by 11 publications

(8 citation statements)

References 13 publications

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“…Apeadu-Mensah et al in 2007 found penile hypospadias as commonest (61%), [9]. and Osereman et al in 2015 found distal hypospadias as the commonest (58.4%) [10]. The GAP procedure can be used for both glanular hypospadias and coronal hypospadias.…”

Section: Discussionmentioning

confidence: 99%

Repair of Consecutive Cases of Hypospadias at 37 Military Hospital

Adusei¹,

Mante²,

Amegbor³

et al. 2020

IJCU

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The outcome of hypospadias repair usually will depend on the skills of the surgeon, the case load and the type of repair done. We report our results from 37 Military hospital in Accra, Ghana. Hypospadias is one of the commonest urologic congenital anomalies. It is associated with three anatomical anomalies: 1. an abnormal ventral opening of the urethral meatus; 2. Ventral curvature (chordae) of the penis; 3. A hooded foreskin. Method: This was a retrospective study of patients who had hypospadias repair between the periods of 2010 to 2017 at the 37 Military hospital. Data of patients who had hypospadias repair at the urology unit was collected. A total of 51 patients were studied out of a total of 1467 surgeries done within that period. Data on patient age, type of hypospadias, type of repair, complications were recorded. Repair was done for patients older than 6 months. Types of repair for urethral construction included; Glans Approximation procedure, (GAP); meatal advancement and glanuloplasty incorporated, (MAGPI); tubularized incised plate urethroplasty, (TIPU); Mustarde´; buccal mucosal tube tunnelled urethroplasty. For the correction of the chordae, a dermal graft was the main procedure of choice. Results: The commonest age of presentation and repair is before the age 5 years, 54.9% (28/51). The commonest types of hypospadias at presentation is coronal. The commonest complication is urethrocutaneous fistula. Conclusion: The commonest type of hypospadias is the coronal type with almost 55% of patient presenting before the age of 5 years. The commonest type of hypospadias is the coronal type (29.4%). Urethrocutaneous fistula is the commonest complication in hypospadias surgery. The use of dermal graft for the correction of severe chordae is a reliable alternative.

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Section: Discussionmentioning

confidence: 99%

Repair of Consecutive Cases of Hypospadias at 37 Military Hospital

Adusei¹,

Mante²,

Amegbor³

et al. 2020

IJCU

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“…Its location varies along the ventral portion of the penis or in the perineum. The incidence of hypospadias is about 3.8 out of 1000 male live births [1], [2], [3], [4], [5]. Glanular hypospadias is the most common type of hypospadias reported.…”

Section: Introductionmentioning

confidence: 99%

Flap Method is Better Than the Tubularized Incised Plate Method for the Surgical Treatment of Distal Hypospadias

Duarsa¹,

Lawanto²,

Oka³

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: Urethroplasty techniques generally can be divided into two methods, the flap method (Mathieu and Onlay Flap) and no flap with tubularized incised plate (TIP) urethroplasty method. Complications are common after urethral reconstructioninclude urethrocutaneous fistulae and cosmetic appearance, which is usually measured by Hypospadias Objective Penile Evaluation (HOPE) scoring system. AIM: The aim of this study was to determine whether there are differences in the outcome of flap method compare to TIP method in distal hypospadias patients who underwent urethroplasty. PATIENTS AND METHOD: The subjects of this study were patients with distal hypospadias who underwent urethroplasty in Sanglah General Hospital from September 2017 to December 2017. Thirty-six samples were selected by consecutive sampling. RESULTS: The results showed a significant difference in the incidence of meatal stenosis (p = 0.05) and urinary stream disturbances(p = 0.05) between two methods. No significant differences were found in the incidence of urethrocutaneous fistulae (p = 0.500) and the unsatisfactory HOPE score (p = 0.169). CONCLUSION: This research showed that meatal stenosis andthe maximum urinary stream were better in flap method compared to TIP method in distal hypospadias patients underwent urethroplasty.

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“…Hypospadias is the abnormal location of the urethra on the ventral surface of the penis and in severe cases opens onto the scrotum or perineum 1 . It is often associated with incomplete development of the foreskin and abnormal penile curvature 2,3 . It is a common congenital malformation and the prevalence is reported to be increasing, although it has a large geographical variation ranging from 2 to 43 cases per 10,000 live births 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…It is a common congenital malformation and the prevalence is reported to be increasing, although it has a large geographical variation ranging from 2 to 43 cases per 10,000 live births 4,5 . The incidence is reported to be one in every 300 male live births 2 . The problem usually develops sporadically and without an obvious underlying cause 1 .…”

Section: Introductionmentioning

confidence: 99%

Hypospadias Repair in Children: A 5-Year Experience from a Pediatric Surgery Department of Chittagong Medical College

Sarwar

Chowdhury

Habib

et al. 2020

J Chittagong Med Coll Teachers Ass

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Background: Hypospadias a very common condition in the children and the incidence is increasing. Here we present our experience of managing hypospadias patients over the last five years. Materials and methods: It was a retrospective study from 2014 to 2018 in the Department of Pediatric Surgery, Chattogram Medical College Hospital. Records of all hypospadias patients were analyzed and type of hypospadias, age at repair, type of repair and admission with complication of hypospadias were recorded. Results: A total of 492 boys were admitted with the diagnosis of hypospadias and 272 boys underwent hypospadias surgery. Distal penile hypospadias (148 patients, 30%) was the commonest variety followed by coronal hypospadias (144 patients, 29%). Age at surgery ranged from 6 months to 19 years with a mean age of 7±4 years. General anesthesia was given in 133 patients (64.7%) spinal anesthesia in 93 patients (31.8%) local anesthesia in 7 patients (2.4%) and caudal block in 3 patients (1%). Urethro-cutaneous fistula, failed urethroplasty and meatal stenosis are the admissions with hypospadias complications. Conclusion: Hypospadias is still common with substantial number of complications. Health education is necessary to reduce age at surgery. JCMCTA 2020 ; 31 (1) : 38-41

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Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience

Cited by 11 publications

References 13 publications

Repair of Consecutive Cases of Hypospadias at 37 Military Hospital

Repair of Consecutive Cases of Hypospadias at 37 Military Hospital

Flap Method is Better Than the Tubularized Incised Plate Method for the Surgical Treatment of Distal Hypospadias

Hypospadias Repair in Children: A 5-Year Experience from a Pediatric Surgery Department of Chittagong Medical College

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