title: Hypospadias repair: a single centre experience.
abstract: Objectives. To determine the demographics and analyze the management and factors influencing the postoperative complications of hypospadias repair. Settings. Hayatabad Medical Complex Peshawar, Pakistan, from January 2007 to December 2011. Material and Methods. All male patients presenting with hypospadias irrespective of their ages were included in the study. The data were acquired from the hospital's database and analyzed with Statistical Package for Social Sciences (SPSS). Results. A total of 428 patients with mean age of 8.12 ± 5.04 SD presented for hypospadias repair. Midpenile hypospadias were the most common. Chordee, meatal abnormalities, cryptorchidism, and inguinal hernias were observed in 74.3%, 9.6%, 2.8%, and 2.1% cases, respectively. Two-stage (Bracka) and TIP (tubularized incised urethral plate) repairs were performed in 76.2% and 20.8% of cases, respectively. The most common complications were edema and urethrocutaneous fistula (UCF). The complications were significantly lower in the hands of specialists than residents (P-value = 0.0086). The two-stage hypospadias repair resulted in higher complications frequency than single-stage repair (P value = 0.0001). Conclusion. Hypospadias surgery has a long learning curve because it requires a great deal of temperament, surgical skill and acquaintance with magnifications. Single-stage repair should be encouraged wherever applicable due to its lower postoperative complications.
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Mansoor
authors.identifier: 0000-0002-8164-0215
authors.initials: M
authors.lastname: Khan
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Abdul
authors.initials: A
authors.lastname: Majeed
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Waqas
authors.identifier: 0000-0002-2319-9169
authors.initials: W
authors.lastname: Hayat
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Hidayat
authors.initials: H
authors.lastname: Ullah
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Shazia
authors.initials: S
authors.lastname: Naz
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Syed Asif
authors.initials: SA
authors.lastname: Shah
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Tahmeedullah
authors.initials: T
authors.lastname: Tahmeed
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Kanwal
authors.initials: K
authors.lastname: Yousaf
authors.affiliation: Plastic & Reconstructive Surgery, Hayatabad Medical Complex, IV Hayatabad, P.O. Box 25100, Peshawar, Pakistan.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Tahir