Comparison of Barcat-Redman technique with Duckett technique in the management of distal hypospadias

To compare the efficacy, safety and complication of Barcat-Redman technique with conventional duckett technique in the management of distal hypospadias. Prospective study carried out at urology department, services hospital, Lahore from 15th April 1998 to 14th April 2000. All Patients with distal hypospadias presenting to the Urology Department Services Hospital. Pediatric Surgery, Services Hospital and Mayo Hospital Lahore were included in the study. These patients were divided into two groups on alternate basis where Group-A patients underwent Barcat-Redman technique and Group-B Patients underwent Duckett technique for the management of hypospadias. Success of both procedures as good, fair and failure were assessed at 3 months follow up. A total of 60 patients were enrolled, 30 patients underwent Barcat-Redman technique [Group-A] and 30 patients were underwent Duckett technique [Group-B]. Ages of the patients ranged from 5 to 25 years with a mean of 11 +/- 5.8 Years. All the patients presented with dystopia of external urethral meatus and chordee [ventral curvature]. The subcoronal type of hypospadias was seen in 43[71.7%] patients and distal penile urethral opening 17[28.3%]. All patients had distal type of hypospadias associated with chordee. Of the 30 patients in Group-A who underwent Barcat-Redman technique, 21[70%] had good results, 5[16.6%] had fair results and 4[13.6%] were failure. In 30 patients of Group-B that underwent Duckett technique, 19[63.4%] patients had good result, 6[20%] had fair results while, 5[16.6%] were failure. The overall morbidity rate was 36.6% while, hospital stay was 3 days and the difference was statistically insignificant [P=0.860]. It is concluded that probably there will never be an operation for hypospadias that will be uniformly and totally successful, but Barcat-Redman technique is superior to Duckett technique

Early and delayed management of penile injuries

Trauma literature regarding management of penile trauma affecting all age groups in the face of coexisting life-threatening injuries is underdeveloped. Furthermore it had potential for significant complications including infection, incontinence, erectile dysfunction and infertility. presuming these facts we intend to assess the efficacy, safety, and complications of penile injuries and its proper management in our setup. Thirty patients of penile injuries having age of 4-64 years were selected from department of urology services hospital, Lahore. Patients having genital tumors or injured due to radiation and bums were excluded from study. Demographic details, brief clinical history and thorough local and systemic examination were carried out in these patients. Each subject was investigated for blood complete picture, urinalysis, and radiographic studies. Taken as a whole two third of our study population result shows fine outcome. Following the result of early and delayed management of cases, significant number of patients shows excellent outcome as compared to patients who were presented late in hospital. early presented patients to hospital shows promising outcome with reduced risk of long term sequelae as compared to patients presented late