Abhishek Sharma
Turkish Journal of Plastic Surgery - 2026;34(2):57-62
Background: In this study, we take a closer look at the management strategies involved in hypospadias repair, exploring the various techniques and the potential complications that may arise afterward. We also explore the various factors that lead to these complications, the importance of expertise, and share some insights into the demographics related to hypospadias. Materials and Methods: This study took place at our center from January 2019 to December 2024, including all male patients of any age who presented with hypospadias. We gathered data from the hospital's database and analyzed it using SPSS (Statistical Package for Social Sciences). Results: We examined 214 patients, with an average age of 8.13 years (+/-5.03 standard deviation), who underwent hypospadias repair. The most frequently observed type of hypospadias was mid-penile. We noted chordee, meatal abnormalities, cryptorchidism, and inguinal hernias in 73.5%, 10.2%, 2.7%, and 2.2% of cases, respectively. Repairs were performed using the TIP (tubularized incised urethral plate) method in 20.9% of cases, whereas 75.5% underwent two-stage (Bracka) repairs and other methods. We noticed that the most common complications were edema and urethrocutaneous fistula. Interestingly, surgeries carried out by specialists had fewer complications compared to those done by residents, and this difference was quite significant (P = 0.0087). In addition, single-stage repairs resulted in fewer complications compared to two-stage repairs (P < 0.001). Conclusions: Hypospadias repair is a procedure that comes with a steep learning curve, requiring patience, surgical skill, and familiarity with magnification techniques. Whenever possible, we should promote single-stage repairs due to their lower rates of postoperative complications.
