Outcomes of Hypospadias Repair Based on Surgical Techniques: A 4-Year Retrospective Study

Overview

Journal Res Rep Urol

Publisher Dove Medical Press

Specialty Urology

Date 2024 Apr 1

PMID 38558857

Authors

Aisha Gabra

Badr Mohammed Beyari

Sara Jamal AlNuwaiser

Sarah Mamdouh Allaf

Reem Alghanmi

Rahaf Alrayiqi

Faisal Mosaad

Mazen Kurdi

Affiliations

Soon will be listed here.

Abstract

Purpose: This study aimed to report the outcomes of hypospadias repair performed at a tertiary-level hospital during 2018 to 2021.

Methods: A retrospective chart review of 119 patients was performed.

Results: The most frequent coronal hypospadias cases were distal. However, the most common scrotal hypospadias cases were proximal. The average age at the time of the first surgery was 2.4 years (standard deviation, ±2.3 years). The tubularised incised plate technique was performed for 57 of these 119 patients. Urethral fistula was the most common complication associated with distal and proximal cases (23.96% and 30.43%, respectively). No significant correlation was observed between any complication and the surgical technique. Based on the logistic regression model, the duration of urethral stenting was statistically significant (p=0.025), indicating that a urinary catheter duration of more than 5 days resulted in a 2.9-times increased risk of postoperative urethral fistula.

Conclusion: Prolonged urethral stenting for more than 5 days may result in subsequent urethral fistula development. Neither the severity of hypospadias nor the surgical technique seems to affect postoperative complications.

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