DOI: 10.36347/sjams.2016.v04i12.066

Pages: 4536-4540

Introduction: Hypospadias, the most common congenital anomaly in the urethra of male children, is primarily identified by an uneven distribution of the chordee, urethral opening, and foreskin. The only proven cure for hypospadias is surgery, however, 5–70% of patients experience problems after the procedure. So, this study aimed to evaluate the outcome and postoperative complications of children aged between 3 to 13 years who underwent TIP & Duckett hypospadias repair. Methods: This was a retrospective observational study conducted in the Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period from January 2014 to July 2016. In our study, we included 30 children with hypospadias who underwent hypospadias repair surgery tubularized incised plate (TIP), and Duckett at our institution. Results: In this study of 30 patients with a mean age of 5.8 years, 56.67% had midshaft hypospadias, and 60% underwent the TIP procedure. TIP showed the highest Qmax (20.2 ml/s) and voiding volume (145.2 ml) compared to Duckett, with significant differences (p < 0.05). The TIP procedure had a 56% success rate, while Duckett had a lower success rate (33%). The most common complications were urethrocutaneous fistula (44% & 58%), and meatal stenosis (11% & 25%) in TIP & Duckett respectively. Conclusion: Our study found that the highest complication rate was seen at the Duckett operation compared to the TIP operation. In contrast to patients who received Duckett, our results demonstrate that Qmax naturally increases in TIP recipients.