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. 2024 Mar 27:16:79-87.
doi: 10.2147/RRU.S451552. eCollection 2024.

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

Aisha Gabra  1 , Badr Mohammed Beyari  2 , Sara Jamal AlNuwaiser  2 , Sarah Mamdouh Allaf  2 , Reem Alghanmi  2 , Rahaf Alrayiqi  2 , Faisal Mosaad  1 , Mazen Kurdi  1
Affiliations

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

Aisha Gabra et al. Res Rep Urol. .

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.

Keywords: hypospadias; tubularised incised plate; urethroplasty.

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Conflict of interest statement

The authors certify that they have no affiliations with or involvement in any organization or entity with any financial or non-financial interests.

Figures

Figure 1
Figure 1
Sankey diagram visualizing the distribution of type hypospadias, surgical technique, and complications. Majority of cases were distal hypospadias and underwent TIP technique. Sixty-four% of the included patients had successful operations while 36% developed postoperative complications. TIP was applied to proximal hypospadias as well.
See this image and copyright information in PMC

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