Evaluation of the Impact of Penile Anomalous Anatomy on the Surgical Management of Hypospadias in Gezira National Centre for Paediatrics Surgery

Abstract

Introduction: The fact that there are over 250 methods of surgical correction of hypospadias described in the literature indicates that the "hypospadiologists" are still in search of the ideal technique for repair. Objectives: To evaluate the impact of penile anatomy on the surgical management of hypospadias. Results: Fourty four patients with different types of hypospadias 88.6% presented more than one year and 11.4% less .we found that 11.4% had glandular meatus,43.2% distal and 45.4% proximal ,also 43.2% had no chordee,45.4% had superficial and 11.4% deep chordee, meatal site after chordee correction24% distal , 60 % proximal and 16% penoscrotal. The most common operation performed was Denis Browne procedure 36.4%, followed by TIP 27.2%, then mucosal onlay flap 11.4%, Mathieu and MAGPI 9.1%, GAP and mucosal graft, MIV and onlyflap 2.3%. The site of meatus post operatively glandular43.2%, proximal 22.8% and 34% distal meatus. The most common complication was wound infection 16%, fistula 9.1% and stenosis 2.3% In conclusion: Hopspadias remains challenges to surgeon, it is importance to detail the penile amatomy in order to select the appropriate surgical procedure.