Appraisal of hypospadias repair at University of Nigeria Teaching Hospital Enugu

Abstract

Background: Hypospadias repair is one of the most common urologic surgeries performed in male children. Various surgical repairs and modifications of existing ones have evolved over the past decades. Notable among them is the Snodgrass tubularized incised plate (TIP) procedure. We document an appraisal of hypospadias repair performed at the University of Nigeria Teaching Hospital (UNTH) Enugu within a period of 6 years. Aim: The aim of this article is to determine the common presentations, repair, and outcome of hypospadias at UNTH. Materials and Methods: This is a retrospective study. Case notes of all patients who had surgeries for hypospadias between January 2013 and January 2019 were retrieved and data extracted. The data were analyzed using SPSS version 23. Results: Sixty-one operations were carried out on 51 patients within the 6-year period. The ages of the patients at the time of surgery ranged from 6 months to 27 years with a median age of 3 ± 4.9 years. The most frequent type was coronal hypospadias occurring in 25 patients (41%). The rarest forms were perineal hypospadias and proximal penile hypospadias seen in one patient (1.6%) each. Five patients (8.2%) each were seen with failed hypospadias repair and urethrocutaneous fistula. Fifty-four (88.5%) were single-stage operations and 7 (11.5%) were staged procedures. The most common surgery performed was Snodgrass TIP urethroplasty done in 38 patients (62.3%). Thirty-six patients (59%) had no complication, whereas 25 (41%) had complications. The common complications were urethrocutaneous fistula in 14 patients (23%) and surgical site infection in five patients (8.2%). Conclusion: Snodgrass TIP was noted to have a good outcome for the repair of hypospadias in UNTH.

Keywords

• hypospadias
• snodgrass tubularized incised plate (tip)