OPTIMIZATION OF ONE STAGE REPAIR OF HYPOSPADIAS

Document Type : Original Article

Authors

1 Departments of General surgery, Faculty of Medicine, Mansoura University, Egypt.

2 Pediatric surgery Unit, Faculty of Medicine, Mansoura University, Egypt.

3 Urology and Nephrology centre, Faculty of Medicine, Mansoura University, Egypt.

Abstract

Even in the most experienced hands, hypospadias repair in one stage is a challenging issue. The aim of the study was to 
optimize one stage repair for all types of hypospadias and to report on short-and mid-term results. It was done on 112 
patients with different types of hypospadias, their ages was ranged between 2 - 14 years with a mean age of 3.7 years. For distal, mid, and proximal penile types, urethra was reconstructed using Duplay tube, intervening layer from the Dartos fascia. 
For the peno-scrotal type, the urethra was created using onlay island flap from the prepuce and covered by a layer from the tunica vaginalis. Suprapubic and urethral drainage were used in proximal-penile and peno- scrotal varieties while urethral drainage only was used in distal, and mid, penile types. The incidence of fistula formation was as follows: 0% in distal penile, 3.5% in mid-penile, 9% in proximal penile and 17% in peno-scrotal type. Due to low incidence of complications of one stage repair for all types of hypospadias we recommend it, provided selection of the proper technique for the proper anomaly

Keywords

The Egyptian Journal of Surgery
Volume 20, Issue 1
January 2001
Pages 456-464

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