A comparative study of two-stage versus single-stage repair of severe Hypospadias
Background: The main aim of hypospadias repair is to preserve the urethral plate whenever possible. This study was undertaken to compare the outcome of repair of severe hypospadias with moderate chordee by single-stage Snodgrass with two-stage repair with dermal graft corporoplasty. Methods: Th...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2020-08-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | https://www.pimr.org.in/2020-vol8-issue-2/originalarticle5_v1.pdf |
| Summary: | Background: The main aim of hypospadias repair is to preserve
the urethral plate whenever possible. This study was
undertaken to compare the outcome of repair of severe
hypospadias with moderate chordee by single-stage Snodgrass
with two-stage repair with dermal graft corporoplasty.
Methods: This prospective cross-section study was done in
the Department of Urology, Chalmida Anand Rao Institute of
Medical Sciences, Bommakal, Karimnagar. The selection of the
patients the type of surgery was based on the type of case. A
total of n=31 patients were operated for severe hypospadias
out of which n=14 single surgeries and n=17 two-staged
surgeries were performed.
Results: N=25 patients were found with a moderate degree of
chordee. No complications were found in n=11(78.57%) in
single-stage repairs and two-stage repairs n=15(88.23%) were
without complications the p values were found to be 0.012
which is significant. HOSE scores Erection correction was better
in two staged surgeries as compared to single-stage repairs
with p values <0.001 which is considered significant.
Conclusion: We can conclude that the repair of severe
hypospadias with moderate chordee by two-staged repair
showed better outcomes as compared to single-stage repair.
The incidence of postoperative complications is also lesser with
two-staged repairs. However, the choice of the procedure must
be based on the type of hypospadias, choice of patients and
economical constraints. |
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| ISSN: | 2348-1447 2348-229X |