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ORIGINAL ARTICLE
Year : 2019  |  Volume : 32  |  Issue : 2  |  Page : 539-543

Evaluation of different techniques in the management of crippled hypospadias


1 Department of General Surgery, Faculty of Medicine, Menoufia University, Shebeen El-Kom, Egypt
2 Department of General Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt

Correspondence Address:
Kareem M Ouda
Damanhour, Behaira
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_882_17

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Objective To evaluate and compare different modalities that used in the management of different complications that we face in cases of crippled hypospadias. Background Hypospadias is one of the most common congenital deformities in humans. It has many causes and its repair is a challenging topic of urogenital reconstructive surgery. Many different techniques are currently being used. Patients and methods This was a randomized prospective study which included 30 patients with crippled hypospadias who presented to Menoufia University Hospital and who were classified into three groups: group A patients underwent tubularized incised plate (TIP) urethroplasty; group B patients underwent Thiersch–Duplay urethroplasty and group C patients underwent buccal mucosal graft. Results The age of the cases at the time of repair ranged between 2 and 14 (8.55 ± 2.3) years. The most common postoperative complications in the whole groups were urethrocutaneous fistula (13.3%), followed by meatal stenosis (6.7%), while urethral stricture and donor site complications were the rarest encountered in only one (3.3%) case. Conclusion There is no single applicable technique for hypospadias repair, if the urethral plate is healthy we can repair with TIP, if we have available nearby penile or preputial skin we use Duplay graft. Moreover buccal mucosa could be used in rest crinkled hypospadias.


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