Comparative Study Of Single And Two Stage Repair Of Hypospadias
Dr. Koli Nikhil Vanura
, Dr. Satyanarayan V , Dr. Shivkumar Babu M.G
Hypospadias; TIP urethroplasty; Bracka’s two stage repair.
Introduction: Hypospadias is a common congenital malformation, occurring in about 1 in 300 live births, with proximal hypospadias being identified in 20% of cases. Compared with distal hypospadias, the proximal type usually has a higher incidence of complications. Some surgeons prefer single‑stage urethroplasty (e.g.TIP urethroplasty and modified Koyanagi technique), whereas others advocate two‑stage repair to achieve better functional and cosmetic outcomes urethroplasty. Hence, objectives of our study are comparing single and two stage repair of hypospadias with respect to post operative complications, surgical outcome and post-operative follow up. Methods: A total of 50 hypospadias patients were enrolled in the study. Demographic, clinical profile, biochemical and laboratory tests parameter were obtained. Patients were divided into two groups 25 in each group, one undergoing one stage repair- TIP urethroplasty and the other two stage (Bracka’s) repair groups using computer generated randomization. Patients were assessed for post-operative complications, surgical outcome using HOSE score and post-operative follow up. Data was analysed using SPSS. Results: Post-operative complications were insignificant between the two groups in Distal and Mid Shaft Hypospadias, but in Proximal Hypospadias, one stage repair had significantly higher complications when compared to two stage repair. Surgical Outcome assessed by HOSE score had acceptable outcome in One stage repair for Distal and Midshaft Hypospadias with Restriction in Proximal Hypospadias, whereas in two stage repair group, all types of Hypospadias had an acceptable outcome. Mean postoperative follow up was less in one stage repair in comparision with two stage repair. Interpretation & Conclusion: One Stage Repair appears to be a good choice due to its lower complication rate with good cosmetic results and shorter follow up in distal and mid shaft hypospadias. The staged repair is a safe and reliable approach in patients with all types of hypospadias. The procedure can be accomplished with a low-complication rate and with a good final cosmetic result in proximal hypospadias compared to one stage repair.
"Comparative Study Of Single And Two Stage Repair Of Hypospadias ", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.7, Issue 6, page no.188 - 193, June-2022, Available :https://ijsdr.org/papers/IJSDR2206030.pdf
Volume 7
Issue 6,
June-2022
Pages : 188 - 193
Paper Reg. ID: IJSDR_200606
Published Paper Id: IJSDR2206030
Downloads: 000347058
Research Area: Medical Science
Country: Kalaburagi, Karnataka, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
