The outcome of limited urethral mobilization urethroplasty for anterior hypospadias.

  • Shafiq-ur- Rehman Sahiwal Medical College Sahiwal.
  • Yasir Makki Sahiwal Medical College Sahiwal.
  • Fareena Ishtiaq Basic Health Unit Dhakranwali Kharian.
  • Waleeja Shami Khan  SIMS / Services Hospital Lahore.
  • Nauman Aziz Sahiwal Medical College Sahiwal.
  • Saad Fazal Sahiwal Medical College Sahiwal.
Keywords: Anterior Hypospadias, Beck Urethroplasty, Limited Urethral Mobilization, Meatal Mobilization Urethroplasty, Outcome

Abstract

Objectives: Hypospadias, one of the most common genital anomalies, is characterized by an abnormal meatal opening on the ventral aspect of penis. Anterior hypospadias are the most common. Most of the surgical techniques involves the construction of neourethra with significant risk of urethrocutaneous fistula. Limited urethral mobilization technique involves the advancement of native urethra. Study Design: The objective of this study was to evaluate the outcome of Limited Urethral Mobilization Urethroplasty for Anterior Hypospadias. Setting: The study was conducted in the Department of Paediatric Surgery, DHQ teaching Hospital Sahiwal. Period: From January 2016 to December 2018. Material & Methods: A total number of 187 patients were included in this study. Limited urethral mobilization technique was used in all patients. Minimum age was 2.5 Years and maximum age was 12 years. Cosmetic appearance, functional outcome and complication rate were assessed. Results: Wound infection developed in 3.20 %( n=6) patients. Complete glanular disruption was seen in 2.13 %( n=4) patients. Partial disruption of glans with meatal retraction was observed in 1.60 %( n=3) patients. Post-operative haematoma was seen in 1.60 %( n=3) patients. Meatal stenosis in 1.06 %( n=2) patients.   Post-operative bleeding and diverticula was observed in 0.5 %( n=1) patients each. Vertical oriented, slit like meatus at the tip of glans was achieved in 95.72 %( n=179) patients. Conclusion: Limited urethral mobilization urethroplasty is a technique with proven benefits and effectiveness in the terms of cosmesis and functional outcome with a minimal number of complications because of the usage of native elastic urethra.

Author Biographies

Shafiq-ur- Rehman, Sahiwal Medical College Sahiwal.

MBBS, FCPS

Assistant Professor Peads Surgery

 

Yasir Makki, Sahiwal Medical College Sahiwal.

MBBS, FCPS

Senior Registrar Peads Surgery

 

Fareena Ishtiaq, Basic Health Unit Dhakranwali Kharian.

MBBS

WMO

 

Waleeja Shami Khan,  SIMS / Services Hospital Lahore.

MBBS

Post Graduate Trainee

Nauman Aziz, Sahiwal Medical College Sahiwal.

MBBS, M.Phil

Demonstrator

 

Saad Fazal, Sahiwal Medical College Sahiwal.

MBBS, FCPS

Senior Registrar General Surgery

 

Published
2020-01-10