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Year : 2020  |  Volume : 33  |  Issue : 2  |  Page : 665-670

Redo surgery in hypospadias

1 Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Plastic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
3 Department of General Surgery, Shebin El Kom Teaching Hospital, Menoufia, Egypt

Correspondence Address:
Shiamaa M Kalama
Department of General Surgery, Shebin El Kom Teaching Hospital, Menoufia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_19_19

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Objective The aim of this study was to determine and evaluate the types of complications and the best type of redo repair. Background Hypospadias surgery is characterized by a constant evolution. The surgeon should use the technique that is suitable for the patient and with which he is most conversant. The best operation for hypospadias correction is the operation that brings the best results. Patients and methods A prospective, randomized, controlled study was conducted during the period from July 2015 to October 2017 on 30 patients presented with crippled hypospadias to the outpatient clinic of Menoufia University Hospitals. All patients in the study presented with complication due to previously repaired hypospadias. The patients were divided into four groups: group A was operated upon with tubularized incised plate urethroplasty; group B was operated upon with Thiersch–Duplay; group C patients were operated upon with buccal mucosal graft; and group D patients were operated upon with one-stage or two-stage repair. Results Successful repair was done for 19 (63.3%) patients, complications occurred in 11 (36.6%) patients. The most common complications were urethrocutaneous fistula affecting six (20%) patients, meatal stenosis affecting four (13.3%) patients, urethral stricture affecting two (6.6%) patients, complete disruption affecting one (3.3%) patient, and donor site complication affecting one (3.3%) patient. Conclusion From this study, it seems that the repair depends on the type of hypospadias, presence or absence of chordee, condition of the nearby skin, and the experience of the surgeon.

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