A prospective study of two-stage primary repair for proximal hypospadias and its short term outcomes.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Aims: To study two stage repair in primary cases of proximal hypospadias using inner preputial graft and analyze short term outcomes. Methods: Single institutional prospective study of patients who underwent primary repair of proximal hypospadias between Jan 2011 to Dec 2016. Failed hypospadias repair cases or proximal hypospadias with DSD or already circumcised cases were excluded from the study. Results: 60 patients completed 2-stage repair with inner preputial graft with a mean age of 42 months(range 36m-96m)in 1st stage and 50m (range 42m-105m). Graft uptake was 100%. On a mean follow up of 12 months(range 6m-28m), there were 10 cases of urethrocutaneous fistula- 4 closed on regular dilatation and ultimately 6(10%)required closure of fistula. 2 cases of meatal stenosis required dilatation. No cases of urethral stricture were reported. Conclusions : Two stage repair for primary proximal hypospadias gave good cosmetic results overall with fewer complications. Longer follow up is required to assess quality of life in terms of sexual function.
Authors and Affiliations
Janki Bisht, Rajarshi Kumar, Aloke Kumar Sinhababu3, Avijit Mitra 4 ,, Ruchirendu Sarkar 5
Keywords
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- EP ID EP363966
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