SUCCESS RATE AND COMPLICATIONS OF HYPOSPADIAS REPAIR: A TERTIARY CARE HOSPITAL EXPERIENCE
Main Article Content
Keywords
Hypospadias, TIP urethroplasty, urethrocutaneous fistula, pediatric urology, surgical outcomes.
Abstract
Introduction: Hypospadias is one of the most widespread congenital disabilities in men that can be surgically corrected to preserve the proper functionality and cosmetic appearance of the penis. Although progress is made, there are still issues concerning complications, particularly in the proximal cases.
Objective: To evaluate the success rate and complications associated with hypospadias repair in a tertiary care hospital setting.
Material and Methods: The study was a prospective observational study conducted at Khyber Teaching Hospital, Peshawar, from 15 January, 2025 to 15 June, 2025. Eighty-six male patients had primary hypospadias repair. The information was documented and processed in terms of surgical methods, complications, and results through SPSS version 25.
Results: Among 86 patients, 54 had distal and 32 had proximal hypospadias. The most frequently applied was TIP urethroplasty. The figure of the total success was 76.70, and complications occurred in 23.30 and consisted of fistula (10.5) and meatal stenosis (5.8).
Conclusion: Most cases of hypospadias repair provide good results, although proximal forms are still susceptible to complications necessitating unique surgical strategies and close monitoring.
References
2- Singhal VK, Al Khouli M, Suleman AM, Senofer N. The Clinical Outcome of Repair in Distal Hypospadias; A Tertiary Care Single Centre Experience. Medi Clin Case Rep J. 2024;2(1):180-3.
3- Laishram OS, Pebam MS, Sinam N, Singh AI, Nepram SS, Laiphrakpam A, Rajpurohit M. Outcomes of hypospadias repair and factors associated: A study in a tertiary care hospital. Journal of Medical Society. 2023 Sep 1;37(3):128-34.
4- Tack LJ, Springer A, Riedl S, Tonnhofer U, Hiess M, Weninger J, Mahmoud A, Van Laecke E, Hoebeke P, Cools M, Spinoit AF. Adolescent and young adult urogenital outcome following childhood hypospadias repair: perfection revisited. The Journal of Urology. 2021 Sep;206(3):734-44.
5- Gama M, Abitew B, Abebe K. Clinical Profiles and Surgical Outcome of Hypospadias Repair at a Teaching Hospital in Ethiopia. Ethiopian Journal of Health Sciences. 2022 May 1;32(3).
6- Gabra A, Beyari BM, AlNuwaiser SJ, Allaf SM, Alghanmi R, Alrayiqi R, Mosaad F, Kurdi M. Outcomes of Hypospadias Repair Based on Surgical Techniques: A 4-Year Retrospective Study. Research and Reports in Urology. 2024 Dec 31:79-87.
7- Bhatia V, Cannon S, Patel AN, Brown HW, Farhat WA, Hilliard ME. Understanding health-related quality of life after hypospadias repair: A qualitative study with pre-adolescent males and parents. Journal of Pediatric Urology. 2024 Dec 1;20(6):1082-92.
8- Goel HK, Tirthraj CM, Kabra S, Gahlawat S, Sharma U, Sood R. Factors affecting outcome of adult hypospadias single stage repair: A prospective observational study. Turkish Journal of Urology. 2022 Feb 1;47(5):420.
9- Pal S, Ghosh M, Biswas S, Patra R, Sarkar R. OUR EXPERIENCE OF A COMPARATIVE STUDY BETWEEN TUNICA VAGINALIS FLAP AND SCROTAL DARTOS FLAP IN MANAGEMENT OF DISTAL PENILE HYPOSPADIAS IN A TERTIARY CARE CENTRE. Int J Acad Med Pharm. 2023;5(2):1117-9.
10- Prasetya AF, Renaldo J. Five-year experience of urethrocutaneus fistula repair in single tertiary referral hospital: a retrospective study. Five-year experience of urethrocutaneus fistula repair in single tertiary referral hospital: a retrospective study. 2021 Sep 26;85(1):7-.
11- Ndiaye M, Sow Y, Sarr A, Thiam A, Faye ST, Ndour NS, Sine B, Zé-Ondo C, Sow O, Ndiath A, Traore A. Hypospadias treatment by tubulated pedicled preputial island flap according to the DUCKETT technique: single-center experience in sub-Saharan Africa. African Journal of Urology. 2021 Dec;27:1-5.
12- Chandra S, Patel P, Nerli R, Ghagane S, Dixit N. Redo Hypospadias Repair: Our Experience in a Tertiary Care Centre.
13- Zhang J, Zhu S, Zhang L, Fu W, Hu J, Zhang Z, Jia W. The association between caudal block and urethroplasty complications of distal tubularized incised plate repair: experience from a South China National Children’s Medical Center. Translational Andrology and Urology. 2021 May;10(5):2084.
14- Yenli EM, Bimpong KA, Cheyuo EK, Muntaka AJ, Issahaku RG, Appiah KA, Sam NB. Managing hypospadias in a tertiary hospital in northern Ghana: a retrospective study. African Urology. 2023 Jun 1;3(2):70-6.
15- Chakraborty P, Mandal KC, Roy S, Tewary SK, Halder PK, Kumar A. The use of preputial dartos flap in the primary repair of distal hypospadias: a single-centre experience. Journal of West African College of Surgeons. 2023 Jan 1;13(1):27-35.
16- Faraj S, Loubersac T, Bouchot O, Heloury Y, Leclair MD. Adults with previous hypospadias surgery during childhood: Beware of bulbar strictures. Journal of Pediatric Urology. 2022 Feb 1;18(1):4-e1.
17- Omar M, Osawa F. Trends in urethrocutaneous fistula management post hypospadias surgery at Kenyatta National Hospital. Kenya Journal of Urology. 2022 Sep:14.
18- Gupta SK, Singh S, Pant N, Rawat J, Wakhlu A. Comparison of Single-Staged and Staged Repair of Proximal Hypospadias among Children Attending a Tertiary Care Center of Northern India: A Retro-prospective Analysis. International Journal of Applied and Basic Medical Research. 2025 Jan 1;15(1):18-24.
19- Gozar H, Bara Z, Dicu E, Derzsi Z. Current perspectives in hypospadias research: A scoping review of articles published in 2021. Experimental and Therapeutic Medicine. 2023 Mar 23;25(5):211.
20- Mohamed SS, Küçük A, Sheikh OA, SARAÇ A, Adam MK, Ibrahim IG, Osman MM, Ali NA, Mohamud AA. A 5-Year Retrospective Study of Gastrointestinal Atresia in a Tertiary Care Hospital in Mogadishu, Somalia. Open Access Surgery. 2024 Dec 31:123-9.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Hazrat Amin
1Medical Officer, Pedriatic Surgery Unit, Khyber Teaching Hospital Peshawar, Pakistan
2Pediatric Surgeon/ Medical Officer, Pediatric Surgery Unit, DHQ Landikotal, Pakistan
3District Pediatric Surgeon, Pediatric Surgery Unit, Type C Hospital Takht e Nasrati, Karak, Pakistan
4Medical Officer, Pediatric Surgery, Khyber Teaching Hispital Peshawar, Pakistan
5Senior Registrar, Saidu Teaching Hospital Swat, Pakistan
6Registrar, Combined Military Hospital Rawalpindi, Pakistan
7Senior Registrar, Pediatric Surgery Department, Gumbat Medical College, Gumbat, Pakistan
*Corresponding author: Mujahid Ullah
*Email: mujahidullah20@gmail.Com
Mian Ridhwan ul Wahab
Pediatric Surgeon/ Medical Officer, Pediatric Surgery Unit, DHQ Landikotal, Pakistan
Mujahid Ullah
District Pediatric Surgeon, Pediatric Surgery Unit, Type C Hospital Takht e Nasrati, Karak, Pakistan
Fayaz ur Rahman
Medical Officer, Pediatric Surgery, Khyber Teaching Hispital Peshawar, Pakistan
Muhammed Kabir
Senior Registrar, Saidu Teaching Hospital Swat, Pakistan
Mishkat Ullah
Registrar, Combined Military Hospital Rawalpindi, Pakistan
Rehmat Ali Khan
Senior Registrar, Pediatric Surgery Department, Gumbat Medical College, Gumbat, Pakistan