Hypospadias: 10 year review of outcome of treatment in pediatric urological practice

Bello, Ahmad; Hussaini, Maitama Yusuf; Kura, M; Mashaly, Ahmed; Tijjani, Lawal Ahmad

doi:10.4103/2384-5147.151571

Cited by 6 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bello A et al from Nigeria reported their 10 years experience and the mean age in their patients was 1.97 years. 7 The mean age reported by Shadrach et al in their study was 2.6 years. 2 A follow up study from Canada reported 1.96 years mean age in their patients.…”

Section: Discussionmentioning

confidence: 69%

“…Most of our patients 63 (70.1%) were of anterior variety and similar results had been reported by other authors. 7,8,9 Ventral curvature (chordee) was noted in 25 (27.8%) patients which required correction and all of them had two stage procedure. Shadrach et al reported chordee in 20.8% of their patients.…”

Section: Discussionmentioning

confidence: 99%

“…Bello et al had severe chordee in 26% of their patinets. 7 For chordee correction, penis was completely degloved and any tethering skin was excised. The urethral plate was excised and bed prepared for grafting.…”

Section: Discussionmentioning

confidence: 99%

“…The reported complication rate after repair of proximal hypospadias is 40-60%, with urethrocutaneous fistula being the most common followed by meatal stenosis. 2,7,13 The high rate of complication in proximal cases may be due to long suture line and non-availability of tissue for water proofing layer.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Hypospadias Repair in Children: 10-Years Experience at Shaikh Zayed Hospital Lahore.

Sheikh

Latif

Ahmad

2019

TPMJ

View full text Add to dashboard Cite

Introduction: Hypospadias is one of the common urogenital condition affecting male children. Multiple factors have been reported by different studies that contribute towards hypospadias, including in utero growth retardation, higher maternal age and endocrine disruptors. Usually multiple surgical procedures are required for correction of hypospadias especially in cases of proximal hypospadias associated with chordee. Objectives: The purpose of study was to report the early outcomes after single stage repair for distal hypospadias and staged repair for proximal hypospadias over the last 10 years in our department. Study Design: Descriptive Study. Setting: Department of Paediatric Surgery, Shaikh Zayed Hospital Lahore. Period: January 2006 to December 2016. Materials & Methods: This study was conducted in Department of Pediatric Surgery, Shaikh Zayed Hospital Lahore. All the patients who were operated between January 2006 to December 2016 for hypospadias or their complications in our unit were included. Data was collected from chart review and outpatient follow up. Data for age at presentation, type of anomaly, congenital curvature, testosterone stimulation, surgical procedure and complications with their management were collected. Patients were divided in two groups depending upon whether single stage procedure was performed or two stage surgery was undertaken. All patients with glandular hypospadias had meatal advancement but glanuloplasty was done in selected cases. Patients with distal hypospadias without chordee underwent tubularized incised plate urethroplasty (TIP) repair. Patients with proximal hypospadias had two stage surgery with correction of chordee with grafting and tubularization of graft after 6 months. Data was analyzed by SPSS v 22. Results: During the study period 134 patients with hypospadias or its complication were managed. Out of these 90 patients met our inclusion criteria. The mean age of patients was 5.0 years. Sixty three (70 %) had distal hypospadias. MAGPAI was performed in 12 (13.3%), TIP repair in 51 (56.7%), Bracka I in 25 (27.8%), Bracka II in 18 (20.0%) and Mathieu repair in 2 (2.2%) patients. Both the patients with Mathieu repair had dehiscence. The most common complication in distal cases was meatal stenosis. In patients with distal hypospadias 10.8% developed fistula while 44.5% of patients with proximal hypospadias developed fistula. Conclusion: Repair of proximal hypospadias with chordee is associated with more complications. Outcomes may be improved by specialized training with adequate workload.

show abstract

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Hypospadias Repair in Children: 10-Years Experience at Shaikh Zayed Hospital Lahore.

Sheikh

Latif

Ahmad

2019

TPMJ

View full text Add to dashboard Cite

show abstract

“…Cases with proximal hypospadias repair are at higher risk of complications compared with distal repairs. Review of literature notes that in one stage Duckett repair, fistula formation and meatal stenosis are higher than in two-stage techniques (18)(19)(20). Table 4 shows comparison of complications in three different studies.…”

mentioning

confidence: 99%

Duckett versus Modified Bracka Technique for Proximal Hypospadias Repair A 10-Year Experience

et al. 2017

View full text Add to dashboard Cite

Background: There are various techniques for treatment of proximal hypospadias disease.Surgical correction is often associated with complications. Proximal hypospadias can be repaired by Duckett or Bracka two-stage repair procedure. This study was to evaluate the outcomes, complications and long term follow-up of these two techniques in our referral hospital. Methods: From January 2006 to January 2015 totally 1550 cases of hypospadias were diagnosed in our hospital, of which 164 patients with high type hypospadias underwent Duckett (78 cases) and modified Bracka (86 cases) surgical repair procedures. Sufficient data were analyzed for age at operation, type of pathology, chordee type, number of operations, complications, outcomes and follow-up.

show abstract

Assessment of the effect of urethral plate width on outcome of hypospadias repair

Emeka

Obianyo

Ekenze

et al. 2019

Journal of Pediatric Urology

View full text Add to dashboard Cite

Hypospadias: 10 year review of outcome of treatment in pediatric urological practice

Cited by 6 publications

References 0 publications

Hypospadias Repair in Children: 10-Years Experience at Shaikh Zayed Hospital Lahore.

Hypospadias Repair in Children: 10-Years Experience at Shaikh Zayed Hospital Lahore.

Duckett versus Modified Bracka Technique for Proximal Hypospadias Repair A 10-Year Experience

Assessment of the effect of urethral plate width on outcome of hypospadias repair

Contact Info

Product

Resources

About