Results of Common Surgical Procedures in the Treatment of Hypospadias in the Bahrami Pediatric Hospital during 2017-2019

Tolou Ostadan Yazd, MR; Torbaghan Eskandari, F; Mollaeian, M; Ahmadi, A

Results of Common Surgical Procedures in the Treatment of Hypospadias in the Bahrami Pediatric Hospital during 2017-2019

Document Type : Original Article

Authors

MR Tolou Ostadan Yazd ¹

F Torbaghan Eskandari ²

M Mollaeian ³

A Ahmadi ⁴

¹ Resident of Pediatric Surgery, Tehran University of Medical Sciences and Health Services, Bahrami Hospital, Tehran, Iran

² Assistant Professor, Department of Pediatric Surgery, Tehran University of Medical Sciences, Bahrami Hospital

³ Associate Professor, Department of Pediatric Surgery, Tehran University of Medical Sciences, Bahrami Hospital

⁴ Assistant Professor, Department of Statistics and Research, Tehran University of Medical Sciences

Abstract

Introduction & Objective: Hypospadiasis is a common congenital birth defect in which stopped normal developmental of urethra and prepose and chordee; there are various surgical procedures. This disorder, especially in severe cases, can cause disorder in urination and even sexual and mental disorders. Materials & Methods: Since year 1396, 147 patients who underwent hypospadiasis repair operations have been evaluated for comorbidies, urethral place, chordee, type of repair, need cystostomy, skin Flap, mucosal Flap, glanoplasty and complications (hematoma, skin Flap necrosis, meatal stenosis, urinary fistula, rotation of penis) and need of re-operation. Results: The most common type of surgical procedures was MAGPI and TIP. The most common skin Flap was dorsal Flap 77 case (52.4%). Mucosal Flap 53 case (36.1%), glanoplasty 73 case (49.7%), tie over 16 case (10.9%), stent 21 case (14.3%), foley Catheter 51case (34.7%) and cystostomy 24 case (16.3%). Complication (hematoma 3 case (2%), skin Flap necrosis 3 case (2%), meatal stenosis 2case (1:4%), skin urinary fistula 2 case (1:4%), rotation of penis 2 case (1.4%) and no needs to re-operation is139case (94.6%). Conclusions: By following the principles of Surgery, using the proper technique and use principles of creating Flap and correct use of foley catheter, stent… We can greatly reduce the complications of procedures. Our results were much better than other articles.

Keywords

Hypospad

Chordee

Prepuse

1. Pourang Houshang. (1398). Comprehensive Pediatric Surgery, 5, 1. Medical university of medical sciences, Mashhad, 730-800.

2. Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience. (Afr J Paediatr Surg. 2015 Jan-Mar; 12(1): 41-4. doi: 10.4103/
0189-6725.150977).

3. Technical refinements to improve outcomes following distal hypospadias repair. (Can J Urol. 2016 Feb; 23(1): 8184-7).

4. Comparative outcomes of the tubularized incised plate and transverse island flap onlay techniques for the repair of proximal hypospadias. (Int Urol Nephrol. 2014 Mar; 46(3): 487-91. doi: 10.1007/s11255-013-0567-z. Epub 2013 Sep 24).

5. Comparison of variables affecting the surgical outcomes of tubularized incised plate urethroplasty in adult and pediatric hypospadias. (J Pediatr Urol. 2016 Apr; 12(2): 108.e1-7. doi: 10.1016/j.jpurol. 2015.09.005. Epub 2015 Oct 22).

6. Grafted tubularised incised-plate urethroplasty: An objective assessment of outcome with lessons learnt from surgical experience with 263 cases. (Arab J Urol. 2016 Oct 27; 14(4): 299-304. eCollection 2016 Dec).

7. Hypospadias surgery in England: Higher volume centres have lower complication rates. (See comment in PubMed Commons belowJ Pediatr Urol. 2017 Feb 20. pii: S1477-5131(17) 30078-5. doi: 10.1016/j.jpurol. 2017 .01.014).

8. Modified tubularized incised plate urethroplasty in distal hypospadias repair: Stepwise technique with validated functional and cosmetic outcome. (J Pediatr Urol. 2017 Feb; 13(1): 86-87. doi: 10.1016/j.jpurol.2016.09.014. Epub 2016 Oct 31).