Outcome of Hypospadias Surgery in Children;

Abstract

Background: Hypospadias is a field of continuous evolving surgery. The aim of surgical treatment is to restore the normal appearance and function of Penis. The outcome of surgery largely varies and depends upon type and severity of anomaly, associated factors, type of surgery performed and skills of surgeon. Study Design: Descriptive, prospective study. Setting: Department of Pediatric Surgery, Military Hospital Rawalpindi and Combined Military Hospital Lahore. Period: 07 years, from October 2010 to October 2017. Methods: Report and analyze the types of hypospadias, choice of surgery along with outcome of surgical repair. All patients operated for Hypospadias surgery were divided in three groups according to age for the purpose of convenience of data collection. Results: A total of 142 surgeries were done on 131 patients were operated (In 09 patient’s stage 2 was performed). Distal penile hypospadias was the most common variety. One stage repair was performed in 83 patients. Two staged repair was decided in 59 patients. Among them 09 are done with second stage urethroplasty. Urethrocutanous fistula was the most common complication in 31 patients followed by bleeding, blocked tube, urine leakage from meatus, splayed stream, wound infection, disrupted glans, torsion of penile shaft and meatal stenosis. Conclusion: Hypospadias surgery is a continuous learning process, one should master in one or two techniques with its intricacies. Meticulous preoperative assessment of anomaly, accurate selection of surgical procedure, proper tissue handling and vigilant follow up are required for good outcome and least complications.

Surgical Repair of Mid-penile to Distal Hypospadias in Children; Report of 93 Cases

“…We encountered complication of urethrocutaneous fistula in 3 patients (2.8%) which falls well within the range of complication rates identified in the literature review for mid penile to distal hypospadias using the same technique 16,19 All of the remaining 90 patients (97.2%) had satisfactory correction with good functional and cosmetic results.…”

“…Its versatility with normally appearing meatus, has made it a preferred technique. 6,16 The most feared complications after TIP repair are urethrocutaneous fistula and meatal stenosis. Different technical pints were raised to decrease the incidence of fistula formation.…”

The association between nurse continuity and hypospadias repair patient outcomes: A retrospective study

“…The inclusion criteria were as follows: (1) age under 1 year and (2) history of one‐stage proximal hypospadias repair between January 2014 and December 2016 at a single university hospital. We set these inclusion criteria because patients who underwent surgery under 1 year of age experience a lower rate of postoperative complications (Garnier et al, 2017; Rasool, 2019). Additionally, proximal hypospadias has been found to have the least favourable outcomes among all types of hypospadias, and some researchers argue that it should be considered a distinct disease because of its severity and the challenges encountered in its management (Long & Canning, 2016).…”