Archive
2021, Volume 5
2020, Volume 4
2019, Volume 3
2018, Volume 2
2017, Volume 1




Volume 4, Issue 2, December 2020, Page: 77-80
Repair of Consecutive Cases of Hypospadias at 37 Military Hospital
Ben Adusei, Urology Unit, Department of Surgery, 37 Military Hospital, Accra, Ghana
Sunny Duodo Mante, Urology Unit, Department of Surgery, 37 Military Hospital, Accra, Ghana
Joshua Amegbor, Urology Unit, Department of Surgery, 37 Military Hospital, Accra, Ghana
Paul Kodjo Yegbe, Urology Unit, Department of Surgery, 37 Military Hospital, Accra, Ghana
Received: Sep. 24, 2020;       Accepted: Oct. 14, 2020;       Published: Oct. 30, 2020
DOI: 10.11648/j.ijcu.20200402.20      View  157      Downloads  55
Abstract
The outcome of hypospadias repair usually will depend on the skills of the surgeon, the case load and the type of repair done. We report our results from 37 Military hospital in Accra, Ghana. Hypospadias is one of the commonest urologic congenital anomalies. It is associated with three anatomical anomalies: 1. an abnormal ventral opening of the urethral meatus; 2. Ventral curvature (chordae) of the penis; 3. A hooded foreskin. Method: This was a retrospective study of patients who had hypospadias repair between the periods of 2010 to 2017 at the 37 Military hospital. Data of patients who had hypospadias repair at the urology unit was collected. A total of 51 patients were studied out of a total of 1467 surgeries done within that period. Data on patient age, type of hypospadias, type of repair, complications were recorded. Repair was done for patients older than 6 months. Types of repair for urethral construction included; Glans Approximation procedure, (GAP); meatal advancement and glanuloplasty incorporated, (MAGPI); tubularized incised plate urethroplasty, (TIPU); Mustarde´; buccal mucosal tube tunnelled urethroplasty. For the correction of the chordae, a dermal graft was the main procedure of choice. Results: The commonest age of presentation and repair is before the age 5 years, 54.9% (28/51). The commonest types of hypospadias at presentation is coronal. The commonest complication is urethrocutaneous fistula. Conclusion: The commonest type of hypospadias is the coronal type with almost 55% of patient presenting before the age of 5 years. The commonest type of hypospadias is the coronal type (29.4%). Urethrocutaneous fistula is the commonest complication in hypospadias surgery. The use of dermal graft for the correction of severe chordae is a reliable alternative.
Keywords
Hypospadias, Buccal Mucosal Graft, Glanuloplasty, Urethroplasty, Dermal Graft
To cite this article
Ben Adusei, Sunny Duodo Mante, Joshua Amegbor, Paul Kodjo Yegbe, Repair of Consecutive Cases of Hypospadias at 37 Military Hospital, International Journal of Clinical Urology. Vol. 4, No. 2, 2020, pp. 77-80. doi: 10.11648/j.ijcu.20200402.20
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
David FM Thomas, Patrick G Duffy, Anthony MK Rickwood editors, essentials of paediatric urology, 2nd edition: Informa UK Ltd 2008; 213p.
[2]
A Springer, M Van Den Heijkant, S Baumann. Worldwide prevalence of hypospadias, jpurol 2015, 12. 002.
[3]
Anne-Françoise Spinoit, Filip Poelaert, Luitzen-Albert Groen, Erik Van Laecke, Piet Hoebeke Department of Urology, Ghent University Hospital, Ghent, Belgium. Received: December 21, 2012; Published Online: January 09, 2013.
[4]
Smith ED. The history of hypospadias. Pediatr Surg Int. 1977; 21: 81–85.
[5]
Thiersch C. Uber die entstehungswise and operative behandlung der epispadie. Arch Hetkunde. 1869; 10: 20–25.
[6]
Duplay S. De l’hypospade périnéoscrotal et de son traitement chirurgical. Arch General Med. 1874; 1: 613–657.
[7]
Humby G. A one-stage operation for hypospadias. Br. J. Surg. 1941; 29: 84.
[8]
Muxin Zhao, Yangqun Li, Yong Tang, Wen Chen, Zhe Yang, Qiang Li, Chuande Zhou, Fengyong Li and Yu Zhou Two-stage repair with buccal mucosa for severe and complicated hypospadias in adults. Original Article. International Journal of Urology (2011) 18, 155–161.
[9]
Appeadu-Mensah W, Hess A A, Hypospadias Surgery at Korle-Bu Teaching hospital, Ghana: A Review of 36 Patients. African Journal of Paediatric Surgery Vol. 4 (2) 2007: pp. 61-63.
[10]
Aisuodionoe-Shadrach OI, Atim T, Eniola BS, Ohemu AA. Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience. Afr J Paediatr Surg 2015; 12: 41-4.
[11]
Sahin C, Seyhan T. Use of buccal mucosal grafts in hypospadia-crippled adult patients. Ann. Plast. Surg. 2003; 50: 382–6.
[12]
Dessanti A, Iannuccelli M, Ginesu G, Feo C. Reconstruction of hypospadias and epispadias with buccal mucosa free graft as primary surgery: more than 10 years of experience. J. Urol. 2003; 170: 1600–2.
[13]
Lindgren BW, Reda EF, Levitt SB, Brock WA, Franco. Single and multiple dermal grafts for the management of severe penile curvature. J Urol. 1998 Sep; 160 (3 Pt 2): 1128-30.
[14]
Snodgrass W, Prieto J. Straightening ventral curvature while preserving the urethral plate in proximal hypospadias repair. J Urol (2009) 182: 1720–5.10.1016/j.juro.2009.02.084.
[15]
Castellan M, Gosalbez R, Devendra J, Bar-Yosef Y, Labbie A. Ventral corporal body grafting for correcting severe penile curvature associated with single or two-stage hypospadias repair. J Pediatr Urol (2011) 7: 289–93.10.1016/j.jpurol.2011.03.008.
[16]
Paulo R. M. Moscardi, Rafael Gosalbez, Miguel Alfedo Castellan Management of High-Grade Penile Curvature Associated With Hypospadias in Children. Front Pediatr. 2017; 5: 189. Published online 2017 Sep 4. doi: 10.3389/fped.2017.00189.
Browse journals by subject