A comparative study of distal hypospadias repair combined with preputioplasty vs repair using conventional circumcision technique

Background: Hypospadias is one of the most common congenital anomalies characterised by underdevelopment ventral anatomical structures penis including skin, urethra, corpora spongiosum and prepuce urethral opening can occur anywhere from perineum to aspect penis. This study evaluated compared short-term cosmetic functional outcomes complications distal hypospadias repair combined with preputioplasty using circumcision. Materials & Methods: Patients were divided in two groups 25 patients either group. Group A underwent urethroplasty circumcision whereas B offered as an additional procedure. Clinical examination included location meatus on penis, presence or absence associated chordee, stretched penile length, circumference, glans girth, depth navicular fossa groove, plate width, status preputial hood testicular examination. Post-operatively, was examined for shape neo-meatus, any form meatal stenosis, urethrocutaneous fistula, dehiscence phimosis. Results: Both comparable respect age at presentation urinary stream. Distal predominated both it present 21 group 24 B. Rest babies had sub-coronal hypospadias. Preputial fossa/glans groove good Mean length 5.14 cm 4.78 children (p value- 0.141). circumference ware 3.88 3.68 respectively 0.139). Girth mean width also values- 0.258 0.621 respectively). Final appearance slit shaped wide 22 Urethro-cutaneous fistula observed a single child One noted have after weeks. Prepuce retracting well during 3rd follow up patient developed phimosis thus results adjunct procedure found be satisfactory. Conclusion: Preputioplasty safe should all undergoing single-stage provides near normal cost approximately 8% foreskin related complication rate.