Repair of Consecutive Cases of Hypospadias at 37 Military Hospital

Ben Adusei; Sunny Duodo Mante; Joshua Amegbor; Paul Kodjo Yegbe

doi:doi:10.11648/j.ijcu.20200402.20

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Repair of Consecutive Cases of Hypospadias at 37 Military Hospital

Ben Adusei, Sunny Duodo Mante, Joshua Amegbor, Paul Kodjo Yegbe

Published in International Journal of Clinical Urology (Volume 4, Issue 2)

Received: 24 September 2020 Accepted: 14 October 2020 Published: 30 October 2020

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Abstract

The outcome of hypospadias repair usually will depend on the skills of the surgeon, the case load and the type of repair done. We report our results from 37 Military hospital in Accra, Ghana. Hypospadias is one of the commonest urologic congenital anomalies. It is associated with three anatomical anomalies: 1. an abnormal ventral opening of the urethral meatus; 2. Ventral curvature (chordae) of the penis; 3. A hooded foreskin. Method: This was a retrospective study of patients who had hypospadias repair between the periods of 2010 to 2017 at the 37 Military hospital. Data of patients who had hypospadias repair at the urology unit was collected. A total of 51 patients were studied out of a total of 1467 surgeries done within that period. Data on patient age, type of hypospadias, type of repair, complications were recorded. Repair was done for patients older than 6 months. Types of repair for urethral construction included; Glans Approximation procedure, (GAP); meatal advancement and glanuloplasty incorporated, (MAGPI); tubularized incised plate urethroplasty, (TIPU); Mustarde´; buccal mucosal tube tunnelled urethroplasty. For the correction of the chordae, a dermal graft was the main procedure of choice. Results: The commonest age of presentation and repair is before the age 5 years, 54.9% (28/51). The commonest types of hypospadias at presentation is coronal. The commonest complication is urethrocutaneous fistula. Conclusion: The commonest type of hypospadias is the coronal type with almost 55% of patient presenting before the age of 5 years. The commonest type of hypospadias is the coronal type (29.4%). Urethrocutaneous fistula is the commonest complication in hypospadias surgery. The use of dermal graft for the correction of severe chordae is a reliable alternative.

Published in	International Journal of Clinical Urology (Volume 4, Issue 2)
DOI	10.11648/j.ijcu.20200402.20
Page(s)	77-80
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Hypospadias, Buccal Mucosal Graft, Glanuloplasty, Urethroplasty, Dermal Graft

References

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[2]	A Springer, M Van Den Heijkant, S Baumann. Worldwide prevalence of hypospadias, jpurol 2015, 12. 002.
[3]	Anne-Françoise Spinoit, Filip Poelaert, Luitzen-Albert Groen, Erik Van Laecke, Piet Hoebeke Department of Urology, Ghent University Hospital, Ghent, Belgium. Received: December 21, 2012; Published Online: January 09, 2013.
[4]	Smith ED. The history of hypospadias. Pediatr Surg Int. 1977; 21: 81–85.
[5]	Thiersch C. Uber die entstehungswise and operative behandlung der epispadie. Arch Hetkunde. 1869; 10: 20–25.
[6]	Duplay S. De l’hypospade périnéoscrotal et de son traitement chirurgical. Arch General Med. 1874; 1: 613–657.
[7]	Humby G. A one-stage operation for hypospadias. Br. J. Surg. 1941; 29: 84.
[8]	Muxin Zhao, Yangqun Li, Yong Tang, Wen Chen, Zhe Yang, Qiang Li, Chuande Zhou, Fengyong Li and Yu Zhou Two-stage repair with buccal mucosa for severe and complicated hypospadias in adults. Original Article. International Journal of Urology (2011) 18, 155–161.
[9]	Appeadu-Mensah W, Hess A A, Hypospadias Surgery at Korle-Bu Teaching hospital, Ghana: A Review of 36 Patients. African Journal of Paediatric Surgery Vol. 4 (2) 2007: pp. 61-63.
[10]	Aisuodionoe-Shadrach OI, Atim T, Eniola BS, Ohemu AA. Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience. Afr J Paediatr Surg 2015; 12: 41-4.
[11]	Sahin C, Seyhan T. Use of buccal mucosal grafts in hypospadia-crippled adult patients. Ann. Plast. Surg. 2003; 50: 382–6.
[12]	Dessanti A, Iannuccelli M, Ginesu G, Feo C. Reconstruction of hypospadias and epispadias with buccal mucosa free graft as primary surgery: more than 10 years of experience. J. Urol. 2003; 170: 1600–2.
[13]	Lindgren BW, Reda EF, Levitt SB, Brock WA, Franco. Single and multiple dermal grafts for the management of severe penile curvature. J Urol. 1998 Sep; 160 (3 Pt 2): 1128-30.
[14]	Snodgrass W, Prieto J. Straightening ventral curvature while preserving the urethral plate in proximal hypospadias repair. J Urol (2009) 182: 1720–5.10.1016/j.juro.2009.02.084.
[15]	Castellan M, Gosalbez R, Devendra J, Bar-Yosef Y, Labbie A. Ventral corporal body grafting for correcting severe penile curvature associated with single or two-stage hypospadias repair. J Pediatr Urol (2011) 7: 289–93.10.1016/j.jpurol.2011.03.008.
[16]	Paulo R. M. Moscardi, Rafael Gosalbez, Miguel Alfedo Castellan Management of High-Grade Penile Curvature Associated With Hypospadias in Children. Front Pediatr. 2017; 5: 189. Published online 2017 Sep 4. doi: 10.3389/fped.2017.00189.

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APA Style

Ben Adusei, Sunny Duodo Mante, Joshua Amegbor, Paul Kodjo Yegbe. (2020). Repair of Consecutive Cases of Hypospadias at 37 Military Hospital. International Journal of Clinical Urology, 4(2), 77-80. https://doi.org/10.11648/j.ijcu.20200402.20

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ACS Style

Ben Adusei; Sunny Duodo Mante; Joshua Amegbor; Paul Kodjo Yegbe. Repair of Consecutive Cases of Hypospadias at 37 Military Hospital. Int. J. Clin. Urol. 2020, 4(2), 77-80. doi: 10.11648/j.ijcu.20200402.20

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AMA Style

Ben Adusei, Sunny Duodo Mante, Joshua Amegbor, Paul Kodjo Yegbe. Repair of Consecutive Cases of Hypospadias at 37 Military Hospital. Int J Clin Urol. 2020;4(2):77-80. doi: 10.11648/j.ijcu.20200402.20

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@article{10.11648/j.ijcu.20200402.20,
  author = {Ben Adusei and Sunny Duodo Mante and Joshua Amegbor and Paul Kodjo Yegbe},
  title = {Repair of Consecutive Cases of Hypospadias at 37 Military Hospital},
  journal = {International Journal of Clinical Urology},
  volume = {4},
  number = {2},
  pages = {77-80},
  doi = {10.11648/j.ijcu.20200402.20},
  url = {https://doi.org/10.11648/j.ijcu.20200402.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20200402.20},
  abstract = {The outcome of hypospadias repair usually will depend on the skills of the surgeon, the case load and the type of repair done. We report our results from 37 Military hospital in Accra, Ghana. Hypospadias is one of the commonest urologic congenital anomalies. It is associated with three anatomical anomalies: 1. an abnormal ventral opening of the urethral meatus; 2. Ventral curvature (chordae) of the penis; 3. A hooded foreskin. Method: This was a retrospective study of patients who had hypospadias repair between the periods of 2010 to 2017 at the 37 Military hospital. Data of patients who had hypospadias repair at the urology unit was collected. A total of 51 patients were studied out of a total of 1467 surgeries done within that period. Data on patient age, type of hypospadias, type of repair, complications were recorded. Repair was done for patients older than 6 months. Types of repair for urethral construction included; Glans Approximation procedure, (GAP); meatal advancement and glanuloplasty incorporated, (MAGPI); tubularized incised plate urethroplasty, (TIPU); Mustarde´; buccal mucosal tube tunnelled urethroplasty. For the correction of the chordae, a dermal graft was the main procedure of choice. Results: The commonest age of presentation and repair is before the age 5 years, 54.9% (28/51). The commonest types of hypospadias at presentation is coronal. The commonest complication is urethrocutaneous fistula. Conclusion: The commonest type of hypospadias is the coronal type with almost 55% of patient presenting before the age of 5 years. The commonest type of hypospadias is the coronal type (29.4%). Urethrocutaneous fistula is the commonest complication in hypospadias surgery. The use of dermal graft for the correction of severe chordae is a reliable alternative.},
 year = {2020}
}

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TY - JOUR
T1 - Repair of Consecutive Cases of Hypospadias at 37 Military Hospital
AU - Ben Adusei
AU - Sunny Duodo Mante
AU - Joshua Amegbor
AU - Paul Kodjo Yegbe
Y1 - 2020/10/30
PY - 2020
N1 - https://doi.org/10.11648/j.ijcu.20200402.20
DO - 10.11648/j.ijcu.20200402.20
T2 - International Journal of Clinical Urology
JF - International Journal of Clinical Urology
JO - International Journal of Clinical Urology
SP - 77
EP - 80
PB - Science Publishing Group
SN - 2640-1355
UR - https://doi.org/10.11648/j.ijcu.20200402.20
AB - The outcome of hypospadias repair usually will depend on the skills of the surgeon, the case load and the type of repair done. We report our results from 37 Military hospital in Accra, Ghana. Hypospadias is one of the commonest urologic congenital anomalies. It is associated with three anatomical anomalies: 1. an abnormal ventral opening of the urethral meatus; 2. Ventral curvature (chordae) of the penis; 3. A hooded foreskin. Method: This was a retrospective study of patients who had hypospadias repair between the periods of 2010 to 2017 at the 37 Military hospital. Data of patients who had hypospadias repair at the urology unit was collected. A total of 51 patients were studied out of a total of 1467 surgeries done within that period. Data on patient age, type of hypospadias, type of repair, complications were recorded. Repair was done for patients older than 6 months. Types of repair for urethral construction included; Glans Approximation procedure, (GAP); meatal advancement and glanuloplasty incorporated, (MAGPI); tubularized incised plate urethroplasty, (TIPU); Mustarde´; buccal mucosal tube tunnelled urethroplasty. For the correction of the chordae, a dermal graft was the main procedure of choice. Results: The commonest age of presentation and repair is before the age 5 years, 54.9% (28/51). The commonest types of hypospadias at presentation is coronal. The commonest complication is urethrocutaneous fistula. Conclusion: The commonest type of hypospadias is the coronal type with almost 55% of patient presenting before the age of 5 years. The commonest type of hypospadias is the coronal type (29.4%). Urethrocutaneous fistula is the commonest complication in hypospadias surgery. The use of dermal graft for the correction of severe chordae is a reliable alternative.
VL - 4
IS - 2
ER -

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Author Information

Ben Adusei

Urology Unit, Department of Surgery, 37 Military Hospital, Accra, Ghana
Sunny Duodo Mante

Urology Unit, Department of Surgery, 37 Military Hospital, Accra, Ghana
Joshua Amegbor

Urology Unit, Department of Surgery, 37 Military Hospital, Accra, Ghana
Paul Kodjo Yegbe

Urology Unit, Department of Surgery, 37 Military Hospital, Accra, Ghana

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APA Style

Ben Adusei, Sunny Duodo Mante, Joshua Amegbor, Paul Kodjo Yegbe. (2020). Repair of Consecutive Cases of Hypospadias at 37 Military Hospital. International Journal of Clinical Urology, 4(2), 77-80. https://doi.org/10.11648/j.ijcu.20200402.20

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ACS Style

Ben Adusei; Sunny Duodo Mante; Joshua Amegbor; Paul Kodjo Yegbe. Repair of Consecutive Cases of Hypospadias at 37 Military Hospital. Int. J. Clin. Urol. 2020, 4(2), 77-80. doi: 10.11648/j.ijcu.20200402.20

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AMA Style

Ben Adusei, Sunny Duodo Mante, Joshua Amegbor, Paul Kodjo Yegbe. Repair of Consecutive Cases of Hypospadias at 37 Military Hospital. Int J Clin Urol. 2020;4(2):77-80. doi: 10.11648/j.ijcu.20200402.20

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@article{10.11648/j.ijcu.20200402.20,
  author = {Ben Adusei and Sunny Duodo Mante and Joshua Amegbor and Paul Kodjo Yegbe},
  title = {Repair of Consecutive Cases of Hypospadias at 37 Military Hospital},
  journal = {International Journal of Clinical Urology},
  volume = {4},
  number = {2},
  pages = {77-80},
  doi = {10.11648/j.ijcu.20200402.20},
  url = {https://doi.org/10.11648/j.ijcu.20200402.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20200402.20},
  abstract = {The outcome of hypospadias repair usually will depend on the skills of the surgeon, the case load and the type of repair done. We report our results from 37 Military hospital in Accra, Ghana. Hypospadias is one of the commonest urologic congenital anomalies. It is associated with three anatomical anomalies: 1. an abnormal ventral opening of the urethral meatus; 2. Ventral curvature (chordae) of the penis; 3. A hooded foreskin. Method: This was a retrospective study of patients who had hypospadias repair between the periods of 2010 to 2017 at the 37 Military hospital. Data of patients who had hypospadias repair at the urology unit was collected. A total of 51 patients were studied out of a total of 1467 surgeries done within that period. Data on patient age, type of hypospadias, type of repair, complications were recorded. Repair was done for patients older than 6 months. Types of repair for urethral construction included; Glans Approximation procedure, (GAP); meatal advancement and glanuloplasty incorporated, (MAGPI); tubularized incised plate urethroplasty, (TIPU); Mustarde´; buccal mucosal tube tunnelled urethroplasty. For the correction of the chordae, a dermal graft was the main procedure of choice. Results: The commonest age of presentation and repair is before the age 5 years, 54.9% (28/51). The commonest types of hypospadias at presentation is coronal. The commonest complication is urethrocutaneous fistula. Conclusion: The commonest type of hypospadias is the coronal type with almost 55% of patient presenting before the age of 5 years. The commonest type of hypospadias is the coronal type (29.4%). Urethrocutaneous fistula is the commonest complication in hypospadias surgery. The use of dermal graft for the correction of severe chordae is a reliable alternative.},
 year = {2020}
}

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