Mohammad Aslam, Obaidullah, Abdul Majid.
Two-stage Aivar Bracka repair in hypospadias salvage cases
J Postgrad Med Inst Apr - Jun 2006;20(2):203-6.
Hayatabad Medical Complex and Lady Reading Hospital, Peshawar

Objective: To evaluate the outcome of Aivar Bracka repair in hypospadias salvage cases. Material and Methods: This descriptive study was conducted in Plastic Surgery Unit, Hayatabad Medical Complex Peshawar, from 1999 to 2004. Two stage Hypospadias repair was performed in 78 re-operative cases having at least one previous failed attempt. Number of previous surgeries, meatal site and state were recorded. Any associated problem at presentation was noticed. Post-operatively, patients were followed up at two weeks, three months, six months and yearly as per protocol. Any functional or cosmetic complication was recorded. Results: Mean age at presentation was 11.86 years (range 3-39 years). Mean previous surgeries were 2.2 per patients (range 1-9). Major complications necessitating an additional procedure were noticed in 10 patients (12.82 %) with fistula in 6 (7.69%) cases, circumcision for redundant prepuce in 2 (2.56 %) cases and exploration for bleeding in 2 (2.56 %) patients. Excellent cosmetic and functional results were achieved in rest of 68 patients (87.17 %) with two-stage Aivar Braka repair. Conclusion: Two-stage Aivar Bracka repair is a simple, safe and versatile procedure with low complication and high success rate. Even in salvage surgery, the results are excellent both functionally as well as cosmetically.

Category: Urology
Keywords: Hypospadias. Aivar Bracka Repair. Penis.

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