HYPOSPADIAS REPAIR

Abstract

Place of Study: The Departments of Urology, Paediatric Surgery and Plastic Surgery, Quaid-e-Azam
Medical College, Bahawal Victoria Hospital, Bahawalpur. Duration of Study: Jan 1999 to Dec 2004. Design of Study:
Prospective. Materials&Methods: Patients admitted with hypospadias in these departments were included in this study
except patients with multiple failed repairs previously. Standard procedures were practiced for every type of defect i.e.
MAGPI and Mathieu’s repair for coronal hypospadias, Snodgrass urethroplasty for proximal and distal penile
hypospadias. Results: The age range observed during this study was 1.5 to 25 years while 64% of patients were less
than 10 years of age. The type of defect was coronal in 25%, penile in 60%, penoscrotal and perineal in 15% of the
patients. Initial success rate was 78% and overall success rate was 92%. Complications observed were fistula
formation 7% , stenosis of anastomotic site 7% and dehiscence of repair 3%. Conclusion: Thorough evaluation of
urethral and penile malformation brings best outcome of surgery for hypospadias. Hypospadias repair should be offered
to the child before school going age so as to prevent psychological impacts of genital malformations.