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A prospective audit of hypospadias correction in a regional paediatric surgery centre

Lookup NU author(s): Professor Rakesh Heer, Dr Trevor Dorkin, Thomas Griffiths, Laurence Rangecroft

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Abstract

Aim: To prospectively review the management and treatment of hypospadias in a single regional centre, and in particular, to assess the spectrum of cases treated, techniques used and to determine the nature of the complications. Methods: One hundred and fifty-three consecutive boys undergoing hypospadias repair during a 36-month period were included in the study. Information was collected prospectively and included the site of the urethral meatus, presence of chordee, surgical technique employed, use of urinary diversion, and the prescription of postoperative antibiotics and analgesics. Patients were assessed in the clinic following surgery at which time information on outcome and complications was obtained. Results: One hundred and fifity-seven procedures for hypospadias were performed. Single-stage reconstruction was performed in 145 boys. GRAP (glanular reconstruction and preputioplasty) repair was the most common operation employed (n = 112). The overall fistula rate was 11.7 % with the majority of patients having a satisfactory functional and cosmetic outcome following surgery. Conclusion: A variety of techniques can be employed to provide satisfactory correction of hypospadias with an increasing emphasis on single-stage day case procedures. GRAP repair is the favoured option for distal hypospadias and incorporates preservation of the prepuce.


Publication metadata

Author(s): Heer R, Dorkin TJ, Byrne RL, Griffiths TRL, Rangecroft L

Publication type: Article

Publication status: Published

Journal: European Journal of Pediatric Surgery

Year: 2004

Volume: 14

Issue: 5

Pages: 328-332

ISSN (print): 0939-7248

ISSN (electronic):

Publisher: Georg Thieme Verlag

URL: http://dx.doi.org/10.1055/s-2004-817963

DOI: 10.1055/s-2004-817963


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