Complications Of Hypospadias Surgery Experience In A Tertiary Hospital

Abstract

Background: To review the types of operations done for hypospadias to analyze the results and complications of different operations.Material And Methods: Patient case file and operation theater records of 40 pediatric patients from august 2020- July 2021 used to obtain the required data. The age at surgery, types of hypospadias at presentation, types of operations done, complications, and results of surgeries were analyzed over a 1-year period. Result: This study in the pediatric age group showed the most common type of hypospadias being distal penile (45%) for which most common surgery being performed is Snodgrass (TIPU) (69%) with no acute (80%) and chronic complication (75%) at time of discharge. Complications rate highest when used for distal hypospadias(3-33 %). Commonest complication noted in literature is urethro-cutaneous fistula (29%). Also fistula rate is higher when TIPU is used for posterior hypospadias. Conclusion: Despite most challenging surgery in hypospadias, one may achieve desirable results by selecting appropriate surgical approaches in these patients. Careful selection of patients and attention to detailed technical factors may help reduce the complication rate. TIPU remains good option for most patients with anterior hypospadias. [Rabari M Natl J Integr Res Med, 2022; 13(2):57-61, Published on Dated: 10/02/2022]