Daulat Khan.
Management of hypospadias in children.
J Surg Pak Jan ;13(2):82-4.

Objective: To describe results of hypospadias repair following Mathieu`s techniques. Study design: Descriptive study. Place and duration of study: Department of Paediatric Surgery, Surgical Unit II, Bolan Medical College, Sandeman Provincial Hospital Quetta from March 2007 to February 2008. Patients and Methods: All patients attending outpatient department of surgical unit II of Bolan Medical College during the study were included. The upper limit of age was kept at 13 years. Patients with distal penile hypospadias without chordee were included. Glandular variety and those having chordee were excluded. Polyglycolic 5/0 sutures were used for repair and urethral tube of appropriate size was kept as stent for 10 days. Simple occlusive dressing was applied in all cases. Results: A total of twenty six patients were operated in one year period. The age of the patients ranged from 12 months to thirteen years. Associated anomalies found in four cases and included one case each of inguinal hernia and scrotal hydrocele and two cases of undescended testis. General complications like swelling and hematoma of operative sites were not given much importance as they settled over period of time. Urethrocutaneous fistula occurred in five cases. None of the patients developed sloughing of flaps and meatal stenosis. Conclusions: Mathieu`s technique of hypospadias repair is effective method of repairing distal penile hypospadias. Urethrocutaneous fistula rate though high but was comparable with reported literature.

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