Bilal Fazal Shaikh, Abdul Razak Memon, Mahesh Kumar, Tahir S M.
Hypospadias repair – an experience at a tertiary care hospital.
Med Channel Jan ;16(2):326-7.

INTRODUCTION: Hypospadias is a congenital anomaly of male urethra. Out 250 live births 1 patient is affected. More than 600 surgical procedures are being adopted to correct this deformity. All of these procedure aims to correct the abnormal anatomy and to create a sound urethra. This retrospective study was done to compare the effects of Bracka’s technique with Wehrbien-Smith technique in the management of hypospadias in our setup. METHODOLOGY: A retrospective comparative study was carried at the Department of Plastic & Reconstructive Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, from April 2006 to May 2009. Forty four patients with moderate to severe form of hypospadias and in whom either Bracka’s or Wehrbien-Smith procedure was performed, were included in the study. All variables of interested including type of hypospadias, complications including fistulae, stenosis, stricture, and graft or flap necrosis were noted on a predesigned proforma and data was later on analyzed through SPSS 17. RESULTS: Age of the patients ranges from 4 - 22 years with mean age of 11 years. Majority of the patients suffered from proximal penile form of disease 40%. Fourteen cases of penoscrotal and perineal hypospadias 31% and 13 cases of mid penile hypospadias 30% were included in the study. The complications rate was common with Wehrbien- Smith as compared to Bracka’s. An increased incidence of urethrocutaneous fistula 27.77% was found patients who underwent Wehrbien-smith technique. CONCLUSION: Bracka’s Two-Stage repair for hypospadias offer superior results as compared to Wehrbien-smith’s technique as complication rates in patients who underwent Bracka’s two stage repair is significantly lower than Wehrbien-smith’s technique specially in terms of fistulae formation.

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