Research and Reports in Urology (Mar 2024)
Outcomes of Hypospadias Repair Based on Surgical Techniques: A 4-Year Retrospective Study
Abstract
Aisha Gabra,1 Badr Mohammed Beyari,2 Sara Jamal AlNuwaiser,2 Sarah Mamdouh Allaf,2 Reem Alghanmi,2 Rahaf Alrayiqi,2 Faisal Mosaad,1 Mazen Kurdi1 1Division of Pediatric Surgery, Department of Surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia; 2Faculty of Medicine and Surgery, King Abdulaziz University Hospital, Jeddah, Saudi ArabiaCorrespondence: Aisha Gabra, Division of Pediatric Surgery, Department of Surgery, King Abdulaziz University Hospital, PO Box 80200, Jeddah, 21589, Saudi Arabia, Tel +966548545060, Email [email protected]: This study aimed to report the outcomes of hypospadias repair performed at a tertiary-level hospital during 2018 to 2021.Methods: A retrospective chart review of 119 patients was performed.Results: The most frequent coronal hypospadias cases were distal. However, the most common scrotal hypospadias cases were proximal. The average age at the time of the first surgery was 2.4 years (standard deviation, ± 2.3 years). The tubularised incised plate technique was performed for 57 of these 119 patients. Urethral fistula was the most common complication associated with distal and proximal cases (23.96% and 30.43%, respectively). No significant correlation was observed between any complication and the surgical technique. Based on the logistic regression model, the duration of urethral stenting was statistically significant (p=0.025), indicating that a urinary catheter duration of more than 5 days resulted in a 2.9-times increased risk of postoperative urethral fistula.Conclusion: Prolonged urethral stenting for more than 5 days may result in subsequent urethral fistula development. Neither the severity of hypospadias nor the surgical technique seems to affect postoperative complications.Keywords: hypospadias, urethroplasty, tubularised incised plate
