CLINICAL PROFILE OF HYPOSPADIAS SINGLE STAGE REPAIR & DOUBLE STAGE REPAIR – A COMPARATIVE STUDY

Abstract

Background: Hypospadias are gross birth defects that occur in approximately 1% of all live births and are a major contributing factor to infant, 1, 2 childhood and adult disability. Hypospadias is the most common congenital anomaly of the penis. The condition is characterized by a urethral meatus that is ectopically located proximal to the normal location on the ventral aspect of the penis. Though, it can be easily corrected in one single stage, other anomalies that may accompany hypospadias include meatal stenosis, hydrocele, cryptorchidism. Methods: A total of 60 cases of hypospadias were undertaken for the study. Patients were evaluated preoperatively on duration of deformity, extent of involvement, type of chordee scar & degree of deformity. Repair was done using penile skin aps only by single or double stage repair. Results: Functional outcome in terms of stula formation at the end of six months were similar in both groups. Conclusion: Patient's satisfaction was greater in single stage repair in cases with moderate chordee.