A PROSPECTIVE STUDY OF DISTAL HYPOSPADIAS IN A TERTIARY CARE HOSPITAL

Abstract

Introduction: Hypospadias is one of the most common congenital malformation affecting the external male genitalia. The incidence is approximately 1 in 250 male newborns, although its incidence seems to be increasing. Hypospadias is defined as an insufficient development of the urethral fold and the ventral foreskin, with or without penile curvature. The urethral opening is located more proximally anywhere between the tip of the penis and the perineum. Materials and Methods: It was a prospective study conducted on 30 patients admitted during the period from January 2022 to December 2022 at Department of Paediatric Surgery, Kurnool
Medical College and Govt general Hospital, Kurnool, AP. Patients with 4 types of hypospadias (glanular, coronal, subcoronal, and distal penile hypospadias) were selected for this study. But, recurrent cases of anterior, fresh, or recurrent proximal hypospadias cases were not taken for this study. A self-structured proforma was used to collect the data such as demographic details, perioperative assessment, intraoperative complications, and postoperative period including complications after procedure and on follow-up. Duration of catheterization and hospital stay were also recorded.
Results: A total of 30 male patients of anterior & distal penile hypospadias were selected for this study. The age of the patients was between 16 and 144 months, and the mean age was 57.12 ± 35.12 months (Table 1). The mean duration of catheterization was 3.75 ± 1.23 days (Table 1). The mean length of hospital stay was 2.83 ± 1.33 (Table 1). We found 52.50% were subcoronal, 40% were distal penile type, only 7.50% cases were of glandular type. Each patient was assessed perioperative after the induction of anesthesia. We found that 3 folds urethral length mobilization allows tension free urethral anastomosis.