Surgical Repair of Mid-penile to Distal Hypospadias in Children; Report of 93 Cases

Abstract

Objective: To present the single surgeon’s experience in surgical repair of mid-penile to distal hypospadias in a series of 93 cases.

Methodology: This is a retrospective study of management of patients of mid penile to sub coronal hypospadias at a median age of 24 months between June 2011 to August 2021. All the children were followed up for 6 months. Eighty-three children were between the age of 1 to 4 years and 10 children were from the age of 5 to 8 years. All the patients underwent physical examination to confirm the diagnosis and to exclude associated anomalies. All the children having mid penile to sub coronal hypospadias were included. All children with glanular hypospadias were excluded from the study. The repair was done under general anesthesia while using tubularized incised plate (TIP) technique.

At completion of surgery compression dressing with transparent Tagaderm was used for one week in all the patients.

Results: All of 90 patients had excellent cosmetic and functional outcome. Only 3 patients developed fistula which needed surgical intervention.

Conclusion: Surgical repair of mid penile to sub coronal hypospadias by tubularized incised plate (TIP) technique is safe and effective. Compression dressing with transparent Tegaderm prevents complications of hematoma formation and wound infection.