Retrospective and Prospective Study of Modified Asopa-I Repair in Hypospadias Patients
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 5
Abstract
Context: There is no data published on the outcome and complications of Modified Asopa-I repair, though it is conceptually proved to be superior and results are better. Hence study on this subject was necessary. Aims: To evaluate the results of Modified Asopa-I repair in patients of hypospadias. Settings and design: A retrospective and prospective, Analytical study was carried out at Asopa Hospital and Research Centre, Agra. Methods and Material: 56 patients operated by Modified Asopa-I repair procedure for hypospadias between April 2012 to March 2016 at Asopa Hospital and Research Centre, Agra were included. Surgery for hypospadias is done after the patient is 18 to 24 months of age and onwards but preferably before age of school going. Statistical Analysis: Proportions were used to analyze the data. Results: 23 (41.07%) patients developed one or more complications. Majority of which were minor complications. Early post-operative complications, like suture line infection and edema developed in 21.42% patients each. 3.57% patients had flap necrosis. 7.14% patients developed urethro-cutaneous fistula. On follow-up for 1 month to 4 years, residual chordee, meatal stenosis & stricture urethra was not detected in any patient. Diverticulum, sacculation and ‘S’ shape deformity was also not detected in any case. 3 (5.35%) patients required second surgery. Conclusion: The Modified Asopa-I repair can be done in patients of hypospadias with chordee & urethral opening from glandular to pen scrotal region, with adequate prepuce, and flat, concave or conical glands.
Authors and Affiliations
Amol V. Dahiphale
Keywords
Related Articles
- EP ID EP548451
- DOI 10.21088/nijs.0976.4747.9518.5
- Views 74
- Downloads 0
Postoperative Pain Comparison between Sutures and Cyanoacrylate Glue for Mesh Fixation in Inguinal Hernia Repair
Inguinal hernia repair is the most frequently performed operation in any general surgical unit [3]. Hernioplasty is most commonly performed surgery for hernia. Mesh fixation is a major step in hernioplasty regularly mesh...
The Role of Upper GI Endoscopy in the Diagnosis and Treatment of Chronic Abdominal Pain in A Rural Hospital Set UP
Abdominal pain is one of the most common symptoms patients present in surgical outpatient department. It may be associated with other symptoms which sometime point towards a working diagnosis. But many a time because of...
Comparative Study of 200 Cases Between Hydrocolloid Control Gel Formulas Dressing vs Conventional Dressing in Ulcer
Introduction: The management of ulcers is expensive and economic burden it throws on our expanding geriatric population is tremendous. Thus it is paramount to carefully evaluate the efficacy of different wound dressings...
Procedural Exposure Analysis of Logbook Data of A Government Surgeon for One Year Period
Maintaining the logbook by surgeons was not properly done in India. In this paper we analyzed the logbook of a surgeon during the first year of surgical practice immediately after the postgraduation. Periodical self logb...
Necrotizing Enterocolitis with Perforation in Neonates: Primary Peritoneal Drainage Irrespective of Birth Weight Resulting in Improved Survival
Background: Necrotizing enterocolitis (NEC) is the most common life threatening emergency of the gastrointestinal tract in newborn period. Despite aggressive medical management many patients develop complications which r...