HYPOSPADIAS REPAIR: REVIEW OF TECHNIQUES AND TREATMENT OUTCOMES IN MEKELLE –HOSPITAL, ETHIOPIA.
Background: In hypospadias repair in the past 15 years, there has been a trend favoring procedures that incorporate the urethral plate into the neourethra.
Objective: This is to indicate that tubularized incised plate hypospadias repair is a versatile operation with potential applicability to wide spectrum hypospadias conditions.
Methods: From Sept. 1/2012 to August 30/2015, a retrospective review of all patients with hypospadias was done to assess the technique for repair and evaluate the treatment outcomes. Descriptive analysis was carried out using numbers, percentages and tables.
Results: There were 67 patients who underwent repair of hypospadias, all in Mekelle hospital. The age ranged from 8 months to 32 years of life. Most 42 (62.7%) patients had distal hypospadias. TIP (tubularized incised plate) repair technique was carried out in most 58 (86.6%) of the cases, Mathieu procedure in 7 (10.4%) and MAGPI repair in 2 (3.0%) of our cases. The overall morbidity encountered was in 9 (13.3%) but in only 7 (12.1%) of the cases with TIP hypospadias repair technique, mainly due to urethrocutaneous fistula, partial/complete neourethral dehiscence and neourethral stricture.
Conclusion: Patient satisfaction rate that exceeded 87.9% was achieved in this study ensuring that TIP repair technique is the best treatment option for wide spectrum of hypospadias conditions.
Key word: Hypospadias, Technique,Outcomes,Mekelle
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