Abstract

Background: Repair of penoscrotal hypospadias is a true challenge to the surgeons. This is evidenced by the large number of procedures available for such repair.To compare transverse preputial tube with double faced tubularized penoscrotal hypospadias repairs. Patients and Methods: a prospective, descriptive (comparative) study conducted during May 2012 to October 2015. Eighty consecutive children (age 2 to 7 years with mean age of 3.2 years) underwent single-stage repair of penoscrotal hypospadias using preputial tube. All patients fulfilling the inclusion criteria were taken as sample size. Simple random sampling was done initially to select the first type of operation then followed by the other type. The patients were divided into two groups according to the used technique. Results: The mean length of the neourethra in tubularized repairs was 34 mm. The follow-up ranged from 3 to 30 months (mean 14 months). The overall complication rate was 20 % (16 of 80 children). Complications developed in 10 cases (25%) in group I (1 glans dehiscence, 1 penile rotation, 2 urethral strictures and 6 fistulae), while 6 of group II (15 %) who underwent double face tubularized repair developed complications (2 developed meatal stenosis, 2 urethral strictures, and 2 fistulae). Statistical Analysis: was used SPSS (statistical package for social science) version 20.0; Chicago, IL, USA) with p-value?0.05 considered statistically significant Conclusions: Our results suggest that double face repair achieved better results with fewer complications than the transverse ventral island preputial tube.