Abstract
Background and aim: To retrospectively review the management of hypospadias in a single regional centre, assess the spectrum of cases treated, operative techniques used and determine the nature of complications.
Methods: 381 patients underwent hypospadias surgery from January 1994 to January 2008. Information was collected retrospectively and this included hypospadias type, presence of chordee, surgical technique, complications and outcome of follow up.
Results: The mean age at presentation and surgery was 10.3 months(Range 0.02 - 156) and 22.3 months (Range 4.2 - 162) respectively. The types of hypospadias treated were anterior {279(73%)], middle [n=79(21%) and posterior [n=23(6%)]. Additional conditions included chordee in 106 {28%), un-descended testis in 10(2.6%) and intersex in 1 (2.6%) patients.
At a mean follow up of 31.4 months(Range 1 -179), the incidence of fistulas, urethral strictures and meatal stenosis were 11.3% (43), 12.8% (49), and 3.7% (14%) respectively.
Conclusion: A thorough assessment of the defect and precise application of specific hypospadias surgery allows for successful correction of even complex hypospadias with a minimal complication rate.
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Raymond, I., Vasdev, N., Thorpe, A. et al. A Retrospective Audit of 381 Cases of Hypospadias Correction in a Regional Paediatric Surgery Centre. Pediatr Res 70 (Suppl 5), 422 (2011). https://doi.org/10.1038/pr.2011.647
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DOI: https://doi.org/10.1038/pr.2011.647