Two Stage Buccal Mucosal Graft (Bracka’s Technique) for Failed Hypospadias Repair

Abstract

Background: Hypospadias is relatively common congenital anomaly affecting 0.3–0.4% of the population worldwide. The purpose of this study was to assess functional and cosmetic outcomes as well as the complications of the usage of the graft of the buccal mucosal in two stage repairs for selected cases of recurrent hypospadias repair.
 Methods: This prospective work was performed on 60 pediatric patients presenting with failed penile hypospadias. Each participant was exposed to general assessment, local examination (Examination of the penis and examination of the testis and scrotum), oral examination, conventional lab tests [full blood picture, liver enzymes, kidney functions, and prothrombin time and activity], and ultrasonography.
 Results: Age, number of previous operations, type of previous urethroplasty, associated chordee, the length of uretheral defect were no statistically significant variation among the study groups.
 Conclusions: The procedure known as staged buccal mucosa graft The Bracka's urethroplasty approach is a straightforward and adaptable method that is very easy to acquire and may be used in challenging situations of unsuccessful hypospadias repair, particularly when there is a shortage of suitable local skin. this technique not only has high success rate and low complication rate, but also gives good cosmetic appearance.