One stage repair of anterior hypospadias and its results

ABSTRACT

This prospective study was carried out over a period of 18 months i.e. from January 1995 to June 1996. Twenty eight cases of anterior hypospadias with an age range of 6 months to 12 years were treated in the department of Paediatric Surgery Nishtar Hospital Multan. Twenty one cases of glandular coronal and distal subcoronal hypospadias were submitted to meatal advancement and glanuloplasty [MAGPI] and in 7 cases mainly of proximal subcoronal type Mathieu's repair was performed. Stent was used in all cases. Suprapubic urinary diversion was done in 4 cases following Mathieu's rapair. Urethrocutaneous fistulae were seen in two [7.14%] meatal stenosis in one [3.57%] and wound infection in one [3.57%] case that resulted in disruption of repair. In over 85.72% cases good results were obtained both functionally and cosmetically