Two-stage aivar bracka repair in hypospadias salvage cases

ABSTRACT

To evaluate the outcome of Aivar Bracka repair in hypospadias salvage cases. This descriptive study was conducted in Plastic Surgery Unit, Hayatabad Medical Complex Peshawar, from 1999 to 2004. Two stage Hypospadias repair was performed in 78 re-operative cases having at least one previous failed attempt. Number of previous surgeries, meatal site and state were recorded. Any associated problem at presentation was noticed. Post-operatively, patients were followed up at two weeks, three months, six months and yearly as per protocol. Any functional or cosmetic complication was recorded. Mean age at presentation was 11.86 years [range 3-39 years]. Mean previous surgeries were 2.2 per patients [range 1-9]. Major complications necessitating an additional procedure were noticed in 10 patients [12.82%] with fistula in 6 [7.69%] cases, circumcision for redundant prepuce in 2 [2.56%] cases and exploration for bleeding in 2 [2.56%] patients. Excellent cosmetic and functional results were achieved in rest of 68 patients [87.17%] with two-stage Aivar Braka repair. Two-stage Aivar Bracka repair is a simple, safe and versatile procedure with low complication and high success rate. Even in salvage surgery, the results are excellent both functionally as well as cosmetically