An audit of single stage hypospadias repair at Ayub Hospital Complex, Abbottabad.
BACKGROUND
Single-stage hypospadias repair is increasingly being performed. We report our experience at a general surgical unit.


METHODS
The first one hundred repairs are included in this observational study, set up to evaluate our results. Hypospadias was graded as distal, penile shaft or peno-scrotal, with or without chordee. A single stage procedure of urethral plate elevation. excision of fibrous tissue with preputial onlay flap was used in all patients.


RESULTS
First 100 operated patients are included in this study. Frequency of major complications was 33%. including fistula (17%), meatal stenosis (7%), premature tube dislodgment (3%). epidermal sloughing and persistent chordee (2% each), and retained tube and torsion penis (1% each). Fistula rate was high (17%). Success in fistula repair was low (53%). In five patients (5%) the urethral plate was transected as it was too short and fibrosed.


CONCLUSIONS
Patients presented early. This procedure may successfully relieve chordee except in peno-scrotal cases. Fistula is a common complication. Early fistula repair may improve outcome. One fourth of the children had a poor cosmetic result. It was not a major concern for parents.
Khattak
Irfan U
IU
Department of Surgery, Ayub Medical College & Hospital Complex, Abbottabad, Pakistan. irfankhattak@yahoo.co.uk
Akbar
Mohammad
M
Nawaz
Mohammad
M
Al-Saleh
Ali
A
Noor
Bakhmal
B
Zia-ur-Rehman
D002675:Child, Preschool; D015331:Cohort Studies; D003906:Developing Countries; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D007021:Hypospadias / Q000175:diagnosis* / Q000601:surgery*; D007223:Infant; D008297:Male; D008485:Medical Audit; D010154:Pakistan; D011183:Postoperative Complications; D012189:Retrospective Studies; D018570:Risk Assessment; D013524:Surgical Flaps; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*