Volume : VII, Issue : II, February - 2018

A CLINICAL STUDY OF HYPOSPADIAS

Dr Srikar Rao . N, Dr Rebecca. R Thaman, Dr Ashraf Ahmed

Abstract :

 

 Hypospadias is the most common congenital malformation of the penis. The prevalence has been estimated to be ~1 in 200 – 300 live male births¹.An incomplete development of the anterior urethra maybe associated with excess dorsal foreskin, ventral penile curvature, diverted urinary stream and potential impairment of sexual function. This turns hypospadias into a stigmatizing condition that can be psychologically  traumatic for children if not properly treated. This study aims to study the case presentation of the problem, which will help in further evaluation and management of hypospadias.

Aims and objectives

To study cases of hypospadias

                               i.            Type of presentation

                             ii.            Age at presentation

                          iii.            Surgical outcome and complications

 

 

 

Materials and Methods

25 cases of hypospadias admitted in Yenepoya Medical College, Mangalore, were selected on the basis of non probability (purposive) method. All patients with specific complaint admitted under the department of paediatric surgery as well as those referred from other departments, neighbouring PHCs and other hospitals were included. Data was collected regarding clinical history, examination findings ,diagnosis, treatment and post operative complications. The outcome was evaluated and compared with standard published literature.

Results

The most common type of hypospadias seen  in our study was subcoronal type. Most defects were noted at birth however, the most common age of presentation to the hospital was between the ages of 1 and 5 years. Most common complaint was passing urine from the undersurface of the penis About 80% of our patients underwent a one stage  whereas 12 % underwent a two stage repair. 8% underwent complication correction.

          Conclusion

For proximal hypospadias, a one stage repair appears to be the                         best method whereas in proximal hypospadias a two stage repair seems to be the best option. All repairs in the early age group are supposed to have better results.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Srikar Rao .N, Dr Rebecca. R Thaman, Dr Ashraf Ahmed, A CLINICAL STUDY OF HYPOSPADIAS, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-2 | February-2018

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