Mohammad Aslam, Muhammad Zarar Niazi, Irfan Ullah.
Delayed hypospadias repair in adolescence and adults: a plastic surgery perspective.
J Saidu Med Col Jan ;7(1):40-2.

BACKGROUND: Hypospadias is a congenital anomaly and most are corrected in childhood in our setup, where the health facilities are suboptimal, many of the cases presents late. Although local studies on these late presenters are nonexistent, foreign literature reports higher complication rates as compared to surgeries performed in early childhood.. OBJECTIVE: To find out post operative complication rates in Hypospadias patients above ten years of age. MATERIAL AND METHODS: This descriptive study was carried out in Plastic Surgery and Burn Unit Lady Reading Hospital, Peshawar. Record of Hypospadias patients aged above ten years was reviewed from January 2011 to December 2015 (five years). Only primary case with no previous attempt for correction and with more than one year follow up were included. RESULTS: Out of total 307 Hypospadias repair 53 (17.26%) patients fulfilled the study criteria and were included in this study. Mean age was 16.65 year (range 11-65years). 34 (64.16%) were distal and rest were mid penile or proximal. Three techniques used were two stage, GAP and Snodgrass. A total of 19 (24.52%) complications occurred in 13 patients. Ten patients (18.86%) developed fistulae which needed additional procedures for correction. CONCLUSION: Delayed Hypospadias repair is associated with higher complication rates as compared to younger pediatric population. Where ever possible, Hypospadias should be corrected at an early, preferably before school going age. Key Words: Hypospadias, Delayed Repair, Adult, Complications.

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