Factors predicting success in hypospadias repair using preputial flap with limited pedicle mobilization (Asopa procedure).
OBJECTIVE
To analyze the objective factors determining success in hypospadias repair by the Asopa technique of limited preputial pedicle mobilization.


METHODS
This was a prospective study involving a cohort of 48 patients (age range 1-19 years) who underwent hypospadias repair in a tertiary care teaching institution, with a follow-up of 20-58 months. Patient inclusion criteria were absence of past history of any local surgery with urethral plate less than 6 mm and hooded prepuce.


RESULTS
At a median follow-up of 33.5 months, the overall complication and fistula rates were 22.9% and 16.7%. Complication and fistula rates were 40% and 30% with tube repairs vs. 18.4% and 13.2% with onlay repairs.


CONCLUSIONS
In patients unsuitable for Snodgrass repair, the Asopa technique of transverse preputial flap repair provides reasonably good results. Patients with proximal hypospadias, conical glans configuration, tube repairs, and more advanced age had higher complication rates with transverse preputial flap repair.
Singh
Bhupendra P
BP
Department of Urology, BYL Nair Charitable Hospital and Topiwala National Medical College, Mumbai Central, Mumbai, India. bpsbhu@yahoo.com
Solanki
Fanindra S
FS
Kapoor
Rahul
R
Dassi
Vimal
V
Kaswan
Harish K
HK
Agrawal
Vipul
V
Swain
Sanjaya K
SK
Andankar
Mukund G
MG
Pathak
Hemant R
HR
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D011379:Prognosis; D011446:Prospective Studies; D013524:Surgical Flaps; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D055815:Young Adult