Outcomes of Hypospadias Surgery Performed by Different Surgeons Under the Supervision of an Experienced Pediatric Urology Surgeon

Abstract

Objective: Hypospadias is one of the most common congenital anomalies among males. Hypospadias repair is still a challenging issue due to its results and frequently seen complications. The most commonly used techniques are the meatal advancement with glansplasty incorporated and tubularized incised plate urethroplasty. The experience of the surgeon is an important factor that influence the success of the surgery. In the literature, there are not enough data about the success of these operations done by different surgeons under the supervision of a pediatric urologist.

Materials and Methods: Records of 98 patients who underwent hypospadias surgery performed under the supervision of a pediatric urologist between 2008 and 2015 were retrospectively investigated. Patients who developed fistula after operation and those who did not were divided into two groups. The two groups were compared according to hyposdias type, history, operation type and age.

Results: A total of 98 patient were included in the study. The mean age was 8.58 +/- 8.3 years. Eighty six (88%) patients had distal and 12 (12%) had proximal hypospadiasis. Twenty two (22%) patients developed fistula. There was no statistically significant difference in history and type of hypospadias and age group (child vs adult) between the two groups. The mean age of the non-fistula group was statistically significantly lower than the fistula group (p=0.0169).

Conclusion: The rates of success and complications of the hypospadias surgeries performed by different surgeons under the supervision of an experienced pediatric urologist are similar with the series done by experienced pediatric urologists.