Publication:

Secondary hypospadias repair using Buccal mucosa graft: case series of 50 patients

Background The aim of the study was to assess the various complications noticed following primary hypospadias repair and to evaluate the impact of preoperative, perioperative and postoperative study of primary hypospadias repair on patients’ quality of life, independence, and complication rates. Objective of this study was to assess the success of buccal mucosa graft in secondary hypospadias repair and study the incidence and severity of complications both to the donor and recipient sites.

Methods A total of 50 patients with previous failed hypospadias repair were included in the study who were admitted in plastic surgery unit from August 2013 to December 2016. The age of patients studied ranged from 8 to 16 years, in which about 60% cases that were presented with previous hypospadias repair were in age group 11-14 years. Patients in this study had undergone multiple previous surgeries for hypospadias repair. Ten patients had 1-2 surgeries and 40 patients had undergone 3 or more procedures for hypospadias repair.

Results In study of 50 patients only 12 had complications following buccal mucosa graft urethroplasty.

Conclusions Overall it showed that buccal mucosal graft urethroplasty had better results in hypospadias cripples.