Objectives. To determine the demographics and analyze the management and factors influencing the postoperative complications\nof hypospadias repair. Settings. Hayatabad Medical Complex Peshawar, Pakistan, from January 2007 to December 2011. Material\nand Methods. All male patients presenting with hypospadias irrespective of their ages were included in the study. The data were\nacquired fromthe hospitalâ��s database and analyzed with Statistical Package for Social Sciences (SPSS). Results.Atotal of 428 patients\nwith mean age of 8.12 �± 5.04 SD presented for hypospadias repair.Midpenile hypospadias were themost common. Chordee, meatal\nabnormalities, cryptorchidism, and inguinal hernias were observed in 74.3%, 9.6%, 2.8%, and 2.1% cases, respectively. Two-stage\n(Bracka) and TIP (tubularized incised urethral plate) repairs were performed in 76.2% and 20.8% of cases, respectively.The most\ncommon complications were edema and urethrocutaneous fistula (UCF). The complications were significantly lower in the hands\nof specialists than residents (??-value = 0.0086). The two-stage hypospadias repair resulted in higher complications frequency than\nsingle-stage repair (?? value = 0.0001). Conclusion. Hypospadias surgery has a long learning curve because it requires a great deal of\ntemperament, surgical skill and acquaintance with magnifications. Single-stage repair should be encouraged wherever applicable\ndue to its lower postoperative complications.
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