IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-3-18448 Original Research Paper Factors affecting the outcome of Surgery in Distal Hypospadias Dr. March 2019 8 3 01 02 ABSTRACT

Introduction: Hypospadias is one of the most common congenital anomalies in live male births. We aim to describe our experience of treating hypospadias in our department and describe how complication rates were associated with the patient related variables. Methodology: This observational study of patients aged between 18 months and 12 years with a clinical diagnosis of hypospadias was conducted in the Department of General Surgery, Rajarshee Chhatrapati Shahu Maharaj Government Medical College and Chhatrapati Pramila Raje Hospital, Kolhapur from October 2016 till April 2018. Patients’ clinical information and postoperative complications were noted. Association of complication with patient related variables were assessed using chi–square or Fisher’s exact test. Results: Among the 50 patients included in the study, the most common age group was less than 3 years, 24% were full term with low birth weight and 16% were preterm and low birth weight. Distal type of hypospadias was the most common type (68%). Post–operative complications were observed in a total of 16 (32%) of the patients, most commonly being fistula formation (n=12). Complications were more common among older patients, those with poorly developed foreskin, short urethral plate and shallow glans groove. Conclusions: Postoperative complications after hypospadias surgery should be anticipated and the surgical technique should be planned accordingly.