A comparative study of two-stage versus single-stage repair of severe Hypospadias

Abstract

Background: The main aim of hypospadias repair is to preserve the urethral plate whenever possible. This study was undertaken to compare the outcome of repair of severe hypospadias with moderate chordee by single-stage Snodgrass with two-stage repair with dermal graft corporoplasty. Methods: This prospective cross-section study was done in the Department of Urology, Chalmida Anand Rao Institute of Medical Sciences, Bommakal, Karimnagar. The selection of the patients the type of surgery was based on the type of case. A total of n=31 patients were operated for severe hypospadias out of which n=14 single surgeries and n=17 two-staged surgeries were performed. Results: N=25 patients were found with a moderate degree of chordee. No complications were found in n=11(78.57%) in single-stage repairs and two-stage repairs n=15(88.23%) were without complications the p values were found to be 0.012 which is significant. HOSE scores Erection correction was better in two staged surgeries as compared to single-stage repairs with p values <0.001 which is considered significant. Conclusion: We can conclude that the repair of severe hypospadias with moderate chordee by two-staged repair showed better outcomes as compared to single-stage repair. The incidence of postoperative complications is also lesser with two-staged repairs. However, the choice of the procedure must be based on the type of hypospadias, choice of patients and economical constraints.