MODIFIED DURHAM SMITH TWO STAGE URETHROPLASTY FOR SEVERE HYPOSPADIAS (OUR EXPERIENCE)

Waseem Jan Shah; Shashank Shekhar Panda

Volume : VII, Issue : XII, December - 2018

MODIFIED DURHAM SMITH TWO STAGE URETHROPLASTY FOR SEVERE HYPOSPADIAS (OUR EXPERIENCE)

Waseem Jan Shah, Shashank Shekhar Panda

Abstract :

OBJECTIVES: Hypospadias repair especially the proximal variety continues to be a surgical challenge. Two stages repairs have regained popularity of late. A single institution initial experience with two stage Durham Smith urethroplasty is presented.

METHODS: Between May 2016 and Feuary 2017, 25 patients underwent stage 1 repair whereas in 6 patients both stages were completed. Age range of the patients was between 1 – 11 years.

RESULTS: There were no major complications. No fistula in those who underwent both stages. No case of skin dehiscence. Two patients (stage 1) had local edema persisting beyond POD 10 which resolved with conservative treatment. Cosmetic result was excellent.

CONCLUSION: Durham smith staged urethroplasty with slight modification is a good alternative in patients requiring a staged repair. Cosmetic results are good with meatus at the tip of glans. It has a relatively shorter learning curve .