Complications of Hypospadias surgery: Experience in a tertiary care hospital

Dr. Mishal Patel; Dr. Sudhir Chandna

Volume : IX, Issue : VI, June - 2020

Complications of Hypospadias surgery: Experience in a tertiary care hospital

Dr. Mishal Patel, Dr. Sudhir Chandna

Abstract :

Background More than 250 different techniques have been described for the management of hypospadias. Tubularised incised plate urethroplasty (TIPU) is now used in most centers for the management of anterior hypospadias. The aim of this study was to review the types of operations done for hypospadias, to analyze the results and complications of these operations and discuss the factors contributing to the complications. Methods This is an observational study analyzing the age at surgery, type of hypospadias at presentation, types of operations done, complications, and results of surgeries. Results and conclusion TIPU remains the most common surgery done for anterior hypospadias. Urethrocutaneous fistula is the major complication. Factors that affect the complication rate include width of urethral plate, type of stitch used, suture technique, infection during immediate post operative period, suturing with tension, the use of a covering protective layer and the expertise of the surgeon.