MODIFIED ONE STAGE MUSTARDEE HYPOSPADIAS REPAIR: A REVIEW OF 55 PATIENTS

Abstract

Background and objectives Hypospadias is a common congenital anomaly. Many methods for repair of hypospadias have been emerged; all have the same objective. Recently several surgeons recommended one-stage hypospadias repair. The objective of the study was todetermine the operative time and outcome of hypospadias repair by one stage tabularized ventral penile skin flap urethroplasty.Methods This study was a review of 55 patients who had been diagnosed with hypospadias.The study was conducted at Azadi General Teaching Hospital in Duhok governorate, Kurdistan region, Iraq between June 2006 and February 2007. This is the main referral hospital in Duhok where patients with urologic problems receive medical care. All patients underwent a one stage hypospadias repair using premeatal based tube flap repair (a modified Mustardee operation).Results A total of 55 patients included in the study with a median age of patient of 4 years (range 9 months – 30 years). The operative time was 60 minutes with a range of 50-70 minutes. Complications were occurred in about half of the patients but most subsided withfurther conservative or surgical intervention. Fistula formation was the commonest one (21.8%) followed by meatal stenosis (12.8).Conclusions Final outcome following modified Mustardee operation is comparable to the other techniques and surgeons can be encouraged to perform such technique.