%0 Journal Article
%T Hypospadias Repair: A Single Centre Experience
%A Mansoor Khan
%A Abdul Majeed
%A Waqas Hayat
%A Hidayat Ullah
%A Shazia Naz
%A Syed Asif Shah
%A Tahmeedullah Tahmeed
%A Kanwal Yousaf
%A Muhammad Tahir
%J Plastic Surgery International
%D 2014
%I Hindawi Publishing Corporation
%R 10.1155/2014/453039
%X Objectives. To determine the demographics and analyze the management and factors influencing the postoperative complications of hypospadias repair. Settings. Hayatabad Medical Complex Peshawar, Pakistan, from January 2007 to December 2011. Material and Methods. All male patients presenting with hypospadias irrespective of their ages were included in the study. The data were acquired from the hospital¡¯s database and analyzed with Statistical Package for Social Sciences (SPSS). Results. A total of 428 patients with mean age of 8.12 ¡À 5.04 SD presented for hypospadias repair. Midpenile hypospadias were the most common. Chordee, meatal abnormalities, cryptorchidism, and inguinal hernias were observed in 74.3%, 9.6%, 2.8%, and 2.1% cases, respectively. Two-stage (Bracka) and TIP (tubularized incised urethral plate) repairs were performed in 76.2% and 20.8% of cases, respectively. The most common complications were edema and urethrocutaneous fistula (UCF). The complications were significantly lower in the hands of specialists than residents ( -value = 0.0086). The two-stage hypospadias repair resulted in higher complications frequency than single-stage repair ( value = 0.0001). Conclusion. Hypospadias surgery has a long learning curve because it requires a great deal of temperament, surgical skill and acquaintance with magnifications. Single-stage repair should be encouraged wherever applicable due to its lower postoperative complications. 1. Introduction Hypospadias is the most common congenital abnormality of the urethra affecting 1£¿:£¿300 live male births worldwide. The incidence is on the rise with the increasing environmental pollution as the suspected cause [1]. In 1993, the Birth Defects Monitoring Program (BDMP) has reported a doubling of the rates of hypospadias since 1970s in the United States [2]. Hypospadias is the abnormal location of the urethra on the ventral surface of the penis with variable association with the aborted development of the urethral spongiosum, ventral prepuce, and penile chordee [3]. By meatal location hypospadias is classified as anterior (glanular and subcoronal), mid-penile (distal penile, midshaft, and proximal penile), and posterior (penoscrotal, scrotal, and perineal) accounting for 50%, 30%, and 20%, respectively [4]. Those cases in which multiple procedures are performed with suboptimal results are termed ¡°crippled cases¡± [5]. One fourth of the hypospadias are associated with chordee [6]. Devine and Horton classified chordee into type I (skin tethering), type II (fibrotic dartos and buck¡¯s fascia), type III (corporal
%U http://www.hindawi.com/journals/psi/2014/453039/