MEATAL STENOSIS

FREQUENCY OF MEATAL STENOSIS AFTER TWO STAGE BRACKA PROCEDURE FOR DISTAL PENILE HYPOSPADIAS

Abstract

Background: Hypospadias is one of the most common congenital anomalies
occurring in males. It is a condition in which the urethral opening, called urinary meatus, does
not form completely to the tip of the penis. Instead, this opening may be located anywhere along
the penis. Incidence rates of hypospadias differ greatly by urologic centres. Studies reported
0.4% (1/250) to 0.8% (1/125) incidence rates in all newborn male infants. This study will help us
finding the complications, mainly meatal stenosis, after repairing distal hypospadias as well as
the surgical procedures preferred by our Pakistani surgeons for it. Objectives: To determine
the frequency of meatal stenosis after two stage Bracka’s technique procedure repair for distal
penile hypospadias. Study Design: Descriptive study. Setting: Department of Plastic Surgery,
Hayatabad Medical Complex, Peshawar. Period: 1st June 2014 to 31st May 2015. Methodology:
All male patients ranging from 1-20 years old, patients with distal penile hypospadias without
chordae since birth were included. Along with meatal stenosis after Bracka repair procedure
for distal penile hypospadias was recorded on a predesigned proforma. Results: In this study
53.4% patients were in age range 1-5 years, 34.7% patients were in age range 6-10 years,
10.2% patients were in age range 10-15 years. Mean age was 6.17 years with SD ±3.34. In
which 11.4% patients had meatal stenosis while 88.6% patients didn’t had meatal stenosis.
Conclusion: Our study concludes that the frequency of meatal stenosis in our setup was 11.4%
after two staged Bracka repair for distal penile hypospadias.