title: An audit of single stage hypospadias repair at Ayub Hospital Complex, Abbottabad.
abstract: 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.
authors.affiliation: Department of Surgery, Ayub Medical College & Hospital Complex, Abbottabad, Pakistan. irfankhattak@yahoo.co.uk
authors.forename: Irfan U
authors.initials: IU
authors.lastname: Khattak
authors.forename: Mohammad
authors.initials: M
authors.lastname: Akbar
authors.forename: Mohammad
authors.initials: M
authors.lastname: Nawaz
authors.forename: Ali
authors.initials: A
authors.lastname: Al-Saleh
authors.forename: Bakhmal
authors.initials: B
authors.lastname: Noor
authors.lastname: Zia-ur-Rehman
mesh_terms: 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*