Academic Journal
Scoping Hypospadias in a Tertiary Pediatric Government Hospital: A Retrospective study in Nepal
| Title: | Scoping Hypospadias in a Tertiary Pediatric Government Hospital: A Retrospective study in Nepal |
|---|---|
| Authors: | Amar Nath Rupakheti, Suman Bikram Adhikari, Bal Mukunda Basnet, Raj Kumar Singh, Priyanka Sah, Kajal Singh Yadav, Surendra B. Adhikari |
| Source: | Grande Medical Journal. 5:22-26 |
| Publisher Information: | Nepal Journals Online (JOL), 2025. |
| Publication Year: | 2025 |
| Description: | BackgroundHypospadias is one of the commonest congenital penile deformities with wide range of problems. There is wide range of complications associated with hypospadias repair worldwide. The main purpose of this study aimed to evaluate the geographical distribution, patterns of hypospadias, and outcome of hypospadias repair. MethodA retrospective study of all patients who underwent hypospadias repair at a single unit of Kanti Children’s Hospital between Baisakh 2079 and Chaitra 2080 was performed. Demographic data, age at surgery, variant of hypospadias, and postoperative outcomes were analyzed. ResultA total of 103 patients were studied, among those patients the mean age at surgery was 4.99 years, and the 38(36.82%) were of school-going age and from the Terai region of Nepal (60.19%). 41 (39.8%) patients had proximal hypospadias, 17 (16.5%) had mid penile and distal hypospadias was seen in 43 patient (41.7%). Urethroplasty was performed in 80 (77.6%) patients, and 23 patients (22.33%) underwent orthoplasty. Periurethral leakage 18(17.4%) followed by thrombophlebitis 10(9.7%) was seen immediately in postoperative period. Urethro-cutaneous fistula 33(41.3%) was the most common complication in urethroplasty. ConclusionThis study demonstrated that fistulas were the most common, irrespective of the type of surgical repair, while wound dehiscence the least common. Meatal stenosis was one of the risk factor for urethro-cutaneous fistula which was seen in this study. |
| Document Type: | Article |
| ISSN: | 2661-6386 2661-6238 |
| DOI: | 10.3126/gmj.v5i1.81761 |
| Rights: | CC BY |
| Accession Number: | edsair.doi...........603032b2f77a15e3426c678bceb4ee3d |
| Database: | OpenAIRE |
| FullText | Text: Availability: 0 |
|---|---|
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| Items | – Name: Title Label: Title Group: Ti Data: Scoping Hypospadias in a Tertiary Pediatric Government Hospital: A Retrospective study in Nepal – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Amar+Nath+Rupakheti%22">Amar Nath Rupakheti</searchLink><br /><searchLink fieldCode="AR" term="%22Suman+Bikram+Adhikari%22">Suman Bikram Adhikari</searchLink><br /><searchLink fieldCode="AR" term="%22Bal+Mukunda+Basnet%22">Bal Mukunda Basnet</searchLink><br /><searchLink fieldCode="AR" term="%22Raj+Kumar+Singh%22">Raj Kumar Singh</searchLink><br /><searchLink fieldCode="AR" term="%22Priyanka+Sah%22">Priyanka Sah</searchLink><br /><searchLink fieldCode="AR" term="%22Kajal+Singh+Yadav%22">Kajal Singh Yadav</searchLink><br /><searchLink fieldCode="AR" term="%22Surendra+B%2E+Adhikari%22">Surendra B. Adhikari</searchLink> – Name: TitleSource Label: Source Group: Src Data: <i>Grande Medical Journal</i>. 5:22-26 – Name: Publisher Label: Publisher Information Group: PubInfo Data: Nepal Journals Online (JOL), 2025. – Name: DatePubCY Label: Publication Year Group: Date Data: 2025 – Name: Abstract Label: Description Group: Ab Data: BackgroundHypospadias is one of the commonest congenital penile deformities with wide range of problems. There is wide range of complications associated with hypospadias repair worldwide. The main purpose of this study aimed to evaluate the geographical distribution, patterns of hypospadias, and outcome of hypospadias repair. MethodA retrospective study of all patients who underwent hypospadias repair at a single unit of Kanti Children’s Hospital between Baisakh 2079 and Chaitra 2080 was performed. Demographic data, age at surgery, variant of hypospadias, and postoperative outcomes were analyzed. ResultA total of 103 patients were studied, among those patients the mean age at surgery was 4.99 years, and the 38(36.82%) were of school-going age and from the Terai region of Nepal (60.19%). 41 (39.8%) patients had proximal hypospadias, 17 (16.5%) had mid penile and distal hypospadias was seen in 43 patient (41.7%). Urethroplasty was performed in 80 (77.6%) patients, and 23 patients (22.33%) underwent orthoplasty. Periurethral leakage 18(17.4%) followed by thrombophlebitis 10(9.7%) was seen immediately in postoperative period. Urethro-cutaneous fistula 33(41.3%) was the most common complication in urethroplasty. ConclusionThis study demonstrated that fistulas were the most common, irrespective of the type of surgical repair, while wound dehiscence the least common. Meatal stenosis was one of the risk factor for urethro-cutaneous fistula which was seen in this study. – Name: TypeDocument Label: Document Type Group: TypDoc Data: Article – Name: ISSN Label: ISSN Group: ISSN Data: 2661-6386<br />2661-6238 – Name: DOI Label: DOI Group: ID Data: 10.3126/gmj.v5i1.81761 – Name: Copyright Label: Rights Group: Cpyrght Data: CC BY – Name: AN Label: Accession Number Group: ID Data: edsair.doi...........603032b2f77a15e3426c678bceb4ee3d |
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