Comparison of Acute Complications of Single Staged vs. Two Staged Hypospadias Repair

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Published: Jun 30, 2025
DOI: https://doi.org/10.54079/jpmi.39.2.3665
Keywords:
Hypospadias, Infection, Deheiscence, Meatal stenosis, Single stage reapir, Two stage repair

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Syed Muhammad Haider
Plastic Surgery Department, Khyber Teaching Hospital, Peshawar
Hamza Khan Shahbazi
Plastic Surgery Department, Khyber Teaching Hospital, Peshawar
Muhammad Shadman Muhammad Shadman
Burns and Plastic Surgery Center, Peshawar
Fahimullah Khan
Burns and Plastic Surgery Center, Peshawar
Shahzad Ahmad
Burns and Plastic Surgery Center, Peshawar
Hamza Fayyaz
Burns and Plastic Surgery Center, Peshawar

Abstract

Objective: To compare the immediate and early complications (till 4 weeks post op) of single staged versus two staged hypospadias repairs.


Methodology: This study was carried out at Department of plastic surgery, Hayatabad Medical Complex Peshawar from 18-02-2020 to 18-08-2020., which included 60 patients undergoing hypospadias repair. Patients in group A underwent a single staged repair, while those in group B underwent two staged repair. Data was collected during postoperative follow-up visits. Data collection included patient demographics and complication rate (infection, wound dehiscence and meatal stenosis).


Results: A total of 8.3% of the overall sample developed infection, 15% wound dehiscence and 8.3% meatal stenosis. In group A, 13.3% developed infection compared to 3.3% in group B (p 0.161), 20% in group A developed wound dehiscence compared to 10% in group B (p 0.278) and 10% in group A developed meatal stenosis compared to 6.7% in group B (p 0.64).


Conclusion: Although, the children in double staged repair group developed less no of complications than single staged group, the difference was not statistically significant. Two staged repair is a preferred choice for repair of hypospadias due to lower frequency of complications and better cosmetic results compared to single stage.

Article Details

How to Cite
1.
Haider SM, Shahbazi HK, Muhammad Shadman MS, Khan F, Ahmad S, Fayyaz H. Comparison of Acute Complications of Single Staged vs. Two Staged Hypospadias Repair. J Postgrad Med Inst [Internet]. 2025 Jun. 30 [cited 2025 Jul. 9];39(2). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/3665
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Vol. 39 No. 2 (2025): JPMI
Section
Original Article
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