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Research Article | Volume 14 Issue:1 (Jan-Feb, 2024) | Pages 741 - 748
Management of Hypospadias in Paediatric age Group
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1
Senior Resident, Department of General Surgery, JJM Medical College, Davangere
2
Assistant Professor , Department of General Surgery,JJM Medical College,Davangere
3
Assistant Professor ,Mahaveer Institute of Medical sciences, Vikarabad, Telangana
Under a Creative Commons license
Open Access
Received
Dec. 19, 2023
Revised
Jan. 2, 2024
Accepted
Jan. 17, 2024
Published
Jan. 31, 2024
Abstract

Background: Hypospadias is a common congenital anomaly affecting male infants, with varied presentations and management strategies. This study aims to evaluate the types, surgical interventions, and outcomes of hypospadias repair in a pediatric population. Methods: A prospective analysis was conducted on 50 pediatric patients undergoing hypospadias repair over 18 months. Data on demographics, clinical findings, operative procedures, and postoperative outcomes were collected and analyzed. Results: The cohort predominantly consisted of toddlers (52%), with a majority presenting with distal penile (48%) and proximal penile (46%) forms of hypospadias. The TIP repair was the most common surgical technique employed (40%). The overall complication rate was 32%, with urethrocutaneous fistula (20%) being the most frequent. Parental satisfaction was high (60%), though a proportion reported dissatisfaction or uncertainty regarding the outcomes (40%). Conclusion: Early detection and intervention are crucial in managing hypospadias, with TIP repair being a reliable surgical option. However, the considerable complication rate calls for enhanced surgical precision and postoperative care. Further, effective communication with parents is essential to manage expectations and improve satisfaction.

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