Challenges of Surgical Repair of Hypospadias in Ile-Ife; Nigeria
Afr. j. urol. (Online)
;
15(2): 96-102, 2009.
Article
in English
| AIM
| ID: biblio-1258070
ABSTRACT
Objective:
To document the presentation; outcome and challenges of management of hypospadias in a resource-limited setting. Patients andMethods:
For this retrospective study we analyzed the files of all patients with hypospadias managed at the Obafemi Awolowo University Teaching Hospital; Ile-Ife; Nigeria between 1996 and 2006. The parameters studied were the patients' bio-data; clinical presentation; treatment and outcome.Results:
During the 10-year period under review 51 cases of hypospadias were managed. The majority of the patients (n=39; 76.5) presented within the first year of life with a mean age at presentation of 1 year and 8 months; though most of the repairs were done in the 2nd; 3rd and 4th years of life. Of the 51 patients 46 (90.2) came from rural and semi-urban areas and 18 (35.3) had been circumcised before presentation. Surgical repair consisted of preputial island flap in 22 patients (43.1) followed by a peri-meatal based flap (Mathieu procedure) in 16 patients (31.4). The MAGPI procedure was used in 5 patients (9.8) and the Snodgrass procedure in 1 (2). Staged repair was necessary in 7 patients (13.7). Post-operative complications were encountered in 15 patients with urethrocutaneous fistula being the commonest one (11 patients; 21.6).Conclusion:
Our results show that hypospadias can be successfully managed in a low- resourcesetting:
Search on Google
Index:
AIM (Africa)
Main subject:
Urogenital Surgical Procedures
/
Cryptorchidism
/
Hypospadias
Type of study:
Observational study
Language:
English
Journal:
Afr. j. urol. (Online)
Year:
2009
Type:
Article
Similar
MEDLINE
...
LILACS
LIS