This study reviewed the complications associated with hypospadias repair surgery done at Khoula hospital, Oman during the period of January, 2010 to October, 2015. During this period, 178 cases were operated. Snodgrass and Bracka’s techniques were the most used techniques. Complications were noted in 16 out of 82 patients operated using Snodgrass technique and 2 out 10 patients operated via Bracka’s technique. This study helped in shifting the practice towards the technique associated with the lowest complications. As a result we adopted for our practice MAGPI for glandular hypospadias, Snodgrass for any type of hypospadias without chordee and Bracka’s two stages repair for hypospadias with chordee.
References
[1]
Spinoit, A., Poelaert, F., Hoebeke, P., Snodgrass, W., et al. (2014) Duration of Follow-Up to Diagnose Hypospadias Urethroplasty Complications. Journal of Pediatric Urology, 10, 783-784. https://doi.org/10.1016/j.jpurol.2014.04.019
[2]
Bracka, A. (1995) A Versatile Two-Stage Hypospadias Repair. Journal of Plastic, Reconstructive & Aesthetic Surgery, 48, 345-352.
https://doi.org/10.1016/s0007-1226(95)90023-3
[3]
Myers, J.B., McAninch, J.W., Erickson, B.A. and Breyer, B.N. (2012) Treatment of Adults with Complications from Previous Hypospadias Surgery. Journal of Urology, 188, 459-463. https://doi.org/10.1016/j.juro.2012.04.007
[4]
American Academy of Pediatrics (1996) Timing of Elective Surgery on the Genitalia of Male Children with Particular Reference to the Risks, Benefits, and Psychological Effects of Surgery and Anesthesia. Pediatrics, 97, 590-594.
[5]
Sarhan, O., Saad, M., Helmy, T. and Hafez, A. (2009) Effect of Suturing Technique and Urethral Plate Characteristics on Complication Rate Following Hypospadias Repair: A Prospective Randomized Study. Journal of Urology, 128, 682-686.
https://doi.org/10.1016/j.juro.2009.04.034
[6]
Arlen, A.M., Kirsch, A.J., Leong, T., Broecker, B.H., Smith, E.A. and Elmore, J.M. (2015) Further Analysis of the Glans-Urethral Meatus-Shaft (GMS) Hypospadias Score: Correlation with Postoperative Complications. Journal of Paediatric Urology, 11, 71.e1-71.e5. https://doi.org/10.1016/j.jpurol.2014.11.015
[7]
Schneuer, F.J., Holland, A.J., Pereira, G., Bower, C. and Nassar, N. (2015) Prevalence, Repairs and Complications of Hypospadias: An Australian Population-Based Study. Archives of Disease in Childhood, 100, 1038-1043.
https://doi.org/10.1136/archdischild-2015-308809
[8]
Marrocco, G., Vallasciani, S., Fiocca, G. and Calisti, A. (2004) Hypospadias Surgery: A 10-Year Review. Pediatric Surgery International, 20, 200-203.
https://doi.org/10.1007/s00383-004-1147-1
[9]
Snodgrass, W., Villanueva, C. and Bush, N.C. (2014) Duration of Follow-Up to Diagnose Hypospadias Urethroplasty Complications. Journal of Pediatric Urology, 10, 208-211. https://doi.org/10.1016/j.jpurol.2013.11.011
[10]
Stanasel, I., Le, H.K., Bilgutay, A., Roth, D.R. and Gonzales, E.T. (2015) Complications Following Staged Hypospadias Repair Using Transposed Preputial Skin Flap. Journal of Urology, 194, 512-516. https://doi.org/10.1016/j.juro.2015.02.044
[11]
Thomas, D.T., Cerit, K.K., Yener, S. and Kandirici, A. (2015) The Effect of Dorsal Dartos Flaps on Complication Rates in Hypospadias Repair: A Randomised Prospective Study. Journal of Pediatric Urology, 11, 23.e1-23.e4.
https://doi.org/10.1016/j.jpurol.2014.07.010
[12]
Snodgrass, W., Dajusta, D., Villanueva, C. and Bush, N. (2013) Foreskin Reconstruction Does Not Increase Urethroplasty or Skin Complications after Distal TIP Hypospadias Repair. Journal of Pediatric Urology, 9, 401-408.
https://doi.org/10.1016/j.jpurol.2012.06.008
