%0 Journal Article
%T Comparison of Distal Hypospadias Repair in Circumcised Patients and Uncircumcised Patients
%A Fahimeh Kazemi Rashed
%A Rasool Gholizade
%J ISRN Urology
%D 2013
%R 10.1155/2013/957581
%X Hypospadias is the most common anomaly in the male genital tract with an incidence of 0.8¨C8.2 per 1000 live male births. Routinely, hypospadias cases are repaired after one year of age, and it is recommended that a child with hypospadias not to be circumcised until hypospadias repair is completed. This study was conducted to determine whether or not circumcision prior to hypospadias repair increases the risk of complications. 30 circumcised patients and 30 persons without a history of circumcision and hypospadias were enrolled in this study and underwent surgery for hypospadias repair. The results of surgery compared between two groups. In the uncircumcised group, the mean durations of surgery and hospitalization were £¿min and days. In circumcised group, the mean duration of surgery and hospitalization were minutes and days. There was no significant difference between these criteria and other complications of the two groups. This study shows that postoperative complications in circumcised distal hypospadias patients do not increase. Cosmetic and functional results were excellent. If there are failures in therapy and in case of postoperative complications, it is better to notice other factors such as infection. 1. Introduction Hypospadias is the most common anomaly in male genital tract with approximately 0.8¨C8.2 per 1000 male newborns being affected [1]. Urethral hole in this anomaly is in ventral and proximal situation. This anomaly result from a failure of male urogenital folds to fuse in various regions. Hypospadias may exist alone, but usually is associated with chordee [2, 3]. Routinely, hypospadias cases are repaired after one year of age. And the traditional emphasis is that circumcision in hypospadiac males are postponed until the completion Hypospadias repair. This study compares the results of distal hypospadias repairs in circumcised patients with the results of uncircumcised patients to answer the question whether or not hypospadias repair complications increase in patients with hypospadias and a history of unknowingly or unwillingly circumcision prior to hypospadias repair. 2. Materials and Methods Between September 2007¨CSeptember 2010, 30 children with distal hypospadias and a history of circumcision and 30 uncircumcised children underwent TIP tubularized incised plate urethroplasty and used dartos flap as a second layer. The site of meatus is in distal of penis in all patients without chordee with complete or incomplete grove of glanse. All reconstructions were performed under general anesthesia, and the absence of chordee was confirmed
%U http://www.hindawi.com/journals/isrn.urology/2013/957581/