Applicability of Distal Hypospadias Surgery in State Hospitals: Retrospective Analysis of 48 Cases

• Main Authors: Faruk Özgör, Ömer Sarılar, Ahmet Yalçın Berberoğlu, Abdülmuttalip Şimşek
• Format: Article
• Language: English
• Published: Galenos Yayinevi 2014-09-01
• Series: Haseki Tıp Bülteni
• Subjects: Distal hypospadias; fistula; TIPU
• Online Access: http://www.hasekidergisi.com/article_7277/Applicability-Of-Distal-Hypospadias-Surgery-In-State-Hospitals-Retrospective-Analysis-Of-48-Cases

Aim: Hypospadias is one of the most common malformations in the male genital tract and distal hypospadias is the most frequent type. In this study, we aimed to retrospectively analyze medical records of patients who have undergone distal hypospadias surgery between April 2011 and April 2013 in a state hospital. Methods: We retrospectively evaluated hospital records of 48 patients who have been operated for distal hypospadias between April 2011 and April 2013. All patients were operated by a single surgeon (AŞ). Patient age, type of hypospadias, the presence of chordee and history of circumcision were evaluated. In addition, duration of surgery, duration of catheterization, length of hospital stay, and short-term and long-term complications were recorded. Results: The mean age of the patients was 7.38±3.77years. Subcoronal hypospadias was the most frequent type and eight of patients had chordee. A total of 42 patients underwent tubularized incised plate urethroplasty (TIPU) and six patients underwent meatal advancement and glanduloplasty (MAGPI). The mean duration of surgery was 83.41±25.65 minutes. None of the patients had a short-term complication; meatus stenosis developed during long-term follow-up in three patients who were treated by dilatation. Additionally, TIPU was performed in three patients in whom fistulas developed. Conclusion: We aimed to demonstrate that distal hypospadias surgery could be performed with low complication and high success rates in state hospitals by surgeons who receive training in hypospadias surgery. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 195-8)