STUDY OF HYPOSPADIAS IN A TERTIARY CARE HOSPITAL IN COASTAL ANDHRA PRADESH

BACKGROUND Hypospadias is the commonest paediatric urological condition with an incidence of 1 in 125 male children. The condition can be easily recognized by the attending neonatologist/paediatrician in the neonatal period. The ideal time for urethral reconstruction is at one year of age and all the staged repairs are to be completed by the time the child goes to school. METHODS We wanted to study the clinical features and outcome of hypospadias cases in the paediatric age group. Children with hypospadias in the age group of 1-10 years are taken up for the study. 51 children were admitted for hypospadias repair with Proximal as well as Distal hypospadias. They were surgically reconstructed with time tested procedures. These children are observed and are on regular follow up for 6 months in the post-operative period. RESULTS 46 new and 5 redo hypospadias repairs were done from January 2017 to August 2018 with 6 months post-operative follow up till February 2019. Satisfactory surgical outcome was achieved with an acceptable complication rate of 9 percent and 20 percent for fresh and redo hypospadias cases respectively. CONCLUSION Most of the children with hypospadias presented at around 5-years of age. As the goal of hypospadias repair is to achieve a normal urinary stream with cosmetically satisfactory penis before school going age, there is a need for early recognition and surgical intervention in these children to achieve optimum results and also to prevent psycho social consequences.