Frequency of Fistula formation in the Management of Hypospadias cripples in patients of different age groups by Bracka's Technique

Abstract

Background: Hypospadias is a congenital anomaly, exclusive to the male population involving male external genitalia. Incidence varies in different populations and ethnic groups.

Objective: To determine the frequency of fistula formation after two staged Bracka’s technique in the management of hypospadias cripples in patients of different age groups.

Methodology: Setting: Department of Plastic and Reconstructive Surgery, Shaikh Zayed Hospital, Lahore. Duration of Study: From January 2011 to June 2014. Study Design: Descriptive case series. Sampling Technique: Non-probability: purposive sampling. Study subjects: Patients with age 1 to 60 years, diagnosed as case of hypospadias cripples diagnosed clinically (patients having a persistent functional complication after initial repair). The data was entered into SPSS version 22 and analyzed through it. Fistula formation was presented as frequencies and percentages.

Results: The mean age was 8.26±5.67. The majority of the patients, 71 (84%) were less than 10 years of age (84%), 6 patients (7%) were between 10-20 years of age, while 8 patients (9%) were more than 20 years of age. Only 9 patients (11%) had a fistula and most of the patients 76 (89%) had no fistula. There was 1 (1%) patient who had fistula less than 10 years of age, 2 (3%) patients had fistula between 10-20 years of age while 6 (7%) patients had fistula more than 20 years of age.

Conclusion: It is concluded that the early intervention in cases of hypospadias cripples results in lesser complications and lesser functional problems as compared to increasing age at the time of presentation.