DUCKETT URETHROPLASTY

TECHNIQUE IN THE MANAGEMENT OF DISTAL HYPOSPADIAS

Abstract

Objective. To assess the efficacy, safety and complication of Duckett urethroplasty technique in the management of distal
hypospadias. Design: Prospective study. Setting: At Urology Department, Services Hospital Lahore and larkana. Period: From 1998 to 2007.
Material and Methods. Fifty patients of distal hypospadias were selected from the Urology Department^ services hospital lahore and larkana
for duckett urethroplasty technique. Results: Age of the patients ranged from 5 to 22 years. The mean age was 10 years, forty (80%) patients
belonged to urban areas while 10(20%) were of rural areas.AII the patients presented with dystopia of external urethral meatus and chordee
(ventral curvature). 25 (50%) presented wih misdirected stream, spraying of urine 3(5%) and narrow stream 3(5%). The subcoronal type of distal
hypospadias was commonly seen in our study. Forty (80%) patients had subcoronal and 10 (20%) distal penile urethral opening. All the patients
were had distal type of hypospadias associated with chordee. Following duckett technique 32(64%) patients had good result and 10(20%)
patients have fair result while 8(16%) were decleared as a failed cases. Conclusion. There is still no operative procedure,which can be labelled
as ideal operation for hypospadias.however duckett technique have lower success rate but statistically insignificant as compared to other
procedures.