Tariq Ahmad, Ata-ur Rehman.
Hypospadias Repair: an Overview of 131 Cases.
Pak J Med Health Sci Jan ;8(3):741-3.

Aim: To determine the age distribution of hypospadias, their presentation, type of surgical procedure and their complications. Methods: This cross-sectional study was conducted in Institute of Kidney Diseases, Peshawar from January 2010 to December 2012. A sample of 103 patients was selected by convenience sampling. All patients with hypospadias were included. Those with disorders of sex development and coagulation disorders were excluded. Age in years, family history, age range at surgery, type of hypospadias, presence of chordee, presence of meatal stenosis, cryptorchidism or inguinal hernia, type of surgical procedure and type of complications were variables. Results: Mean age of the sample was 7.11±4.09 (1-20) years. Anterior hypospadias was the most common type in 69(52.67%) patients. Fourteen (10.68%) patients had positive family history. Majority of the patients 74(56.49%) were operated in 4-6 years of age. Sixty nine and 62 patients underwent single and two-stage repair respectively. Chordee was present in 93(80%) patients. Meatal stenosis was observed in 11(8.93%) where as cryptorchidism and inguinal hernia were observed in 2(1.53%) patients each. Most common acute complication was edema in 52(39.69%) and most common chronic complication was urethrocutaneous fistula in 52(39.69%) patients. Conclusion: Hypospadias repair is associated with edema as commonest acute complication and urethrocutaneous fistula as commonest chronic complication.

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