modified water proofing layer in two stage hypospadias repair: five years experience

ABSTRACT

To assess the outcome of modified water proofing fascial layer in two stage hypospadias repair.January 1999 to December 2003, Plastic surgery unit Hayatabad Medical Complex, Peshawar.Descriptive and prospective study.A modified waterproofing technique was used in two stage repair of Hypospadias. Two hundred consecutive cases were included in this study. Fifty two cases were Hypospadias cripple. Fistula was the most common major complication occurring in 18 patients. Four of these fistulae closed spontaneously while 14 underwent surgical repair. Catheter related minor complication occurred in 5 patients. 4 patients underwent revisional surgery for cosmetic reason.This modified waterproofing technique is simple, safe and versatile adjuvant to Hypospadias repair. Reduction in complication rate is significant with minimal learning curve