DISTAL HYPOSPADIAS

BARCAT-REDMAN URETHROPLASTY

Abstract

Objective: To assess the efficacy, safety and complication of Barcat_Redman urethroplasty technique in the management
of distal hypospadias. Place of S t u d y : Prospective study was completed at Urology Department, Services Hospital Lahore and larkana from
1998 to 2007. Material a n d M e t h o d s : Fifty patients of distal hypospadias were selected from the Urology Department of Services Hospital
Lahore and Larkana for Barcat_Redman urethroplasty technique. R e s u l t s : Age of the patients range from 5 to 25 years, the mean age was
11 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) while 25 (50%) presented wih misdirected stream, 3(5%) spraying of urine and
3(5%) narrow stream . The subcoronal type of distal hypospadias was commonly seen in our study, forty (80%) patients had subcoronal
and 10 (20%) distal penile urethral opening. Following barcat-redman technique 35(70%) patients had good result and 8(16%) patients were
declared as fair result while 4 (14%) decleared failure. The overall morbidity rate was 30% while hospital stay was 3 days. C o n c l u s i o n :
Barcat-Redman urethroplasty technique is simple, less time consuming and has better success rate for the management of Distal
hypospadias.