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SAS Journal of Surgery | Volume-7 | Issue-08
Hypospadias Repair: Our Experience in BSMMU & Others Private Hospital in Dhaka, Bangladesh
Dr. Susankar Kumar Mondal, Professor A.K.M. Zahid Hossain, Dr. Md. Nooruzzaman, Dr. Abu Bakar Akan, Dr. Md. Noor Mahammad, Dr. Mridul Prasad Joshi, Dr. S. M. Shamsul Huda
Published: Aug. 26, 2021 | 131 158
DOI: 10.36347/sasjs.2021.v07i08.013
Pages: 455-459
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Abstract
Background: Hypospadias is an abnormality of frontal urethral and penile development. The urethral opening is ectopically located on the ventral surface of the penis. It is one of the common congenital anomalies that affect children and early adults as a birth defect. Urethroplasty is an open surgical reconstruction which also called hypospadias repair. Hypospadias repair can take many forms or techniques, likes meatal advancement and glanuloplasty (MAGPI) repair methods, mathieu meatal-based flip-flap technique repair methods and snodgrass or tubularized incised plate (TIP) repair methods. The repair methods are depending on the severity of the deformity. Objective: The objective of this study was to assess the success rate of snodgrass or tubularized incised plate (TIP) methods hypospadias repair procedure. Materials and Methods: This prospective observational study was conducted in the Bangabandhu Sheikh Mujib Medical University (BSMMU) & other private hospitals in Dhaka, Bangladesh during the period from January 2013 to January 2020. Ethical clearances were taken from concerned authorities of the assigned hospitals. Properly written consent was taken from all the parents before starting the intervention. A total of 150 patients who needed urethroplasty, of 2 to 12 years of age with proper documents were finalized as the study population. Data were collected, analyzed, and disseminated by MS Office and SPSS version 16 program as per need. Results: In this study, the mean age of the participants was 5.25±2.50 years. In analyzing the length of defect we found 62.67% of participants got <4 cm whereas 37.33% of participants got 4+ cm length. On the other hand, in 5.33%, 10%, 20%, and 64.67% of patients glanular, coronal, distal penile, and mid penile locations were found respectively. As complications, we found dribbling and incontinence in 23.33% separately which was the highest in ratio. According to the follow-up report in 80% of cases (n=120), the hypospadias ...