Hypospadias treatment by tubulated pedicled preputial island flap according to the DUCKETT technique: single-center experience in sub-Saharan Africa

Modou Ndiaye,Babacar Diao,Yaya Sow,Ndiaga Seck Ndour,Boubacar Fall,Cyrille Zé-Ondo,Ousmane Sow,Ndeye Aissatou Bagayogo,Samba Thiapato Faye,Papa Ahmed Fall,Alioune Sarr,Aboubacar Traore,Amath Thiam,Abdoulaye Ndiath,Alain Khassim Ndoye,Babacar Sine

doi:10.1186/s12301-021-00260-9

Modou Ndiaye, Babacar Diao + Show 14 more

Open Access

https://doi.org/10.1186/s12301-021-00260-9

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Abstract

BackgroundHypospadias is the second most frequent congenital condition in boys after cryptorchidism, with an incidence of 0.3–0.7% compared to 2–4% for cryptorchidism. Since the 1980s, single-stage operations, such as the one described by Duckett, have been adopted by some authors. To assess the results of hypospadias surgery by tubed pedicled preputial island flap (DUCKETT’s procedure) in a West African reference hospital.MethodsThis is a retrospective and descriptive study that includes 41 patients with hypospadias who underwent DUCKETT procedure by a tubed pedicled preputial island flap during a period of 12 years. After penile degloving, the curvature has been corrected by skin bridging with or without Nesbit’s plication. The urethroplasty was done according to the DUCKETT procedure.ResultsThe patients mean age was 11 ± 8.5 years. All of them had posterior foreskin and a ventral curvature of the penis. The urethral meatus was posterior in 37%. Six of them had a previous hypospadias repair. The complication rate was 58.5%. Wound infection and meatal stenosis occurred in 14.6% and 19.6% of cases, respectively. After a mean follow-up of 20 ± 9 months, total success, relative success and failure rates were 63%, 27% and 10%, respectively.ConclusionThe DUCKETT procedure is associated with a high complication rate in our daily practice.

Highlights

1 Background Hypospadias is the second most frequent congenital condition in boys after cryptorchidism, with an incidence of 0.3–0.7% compared to 2–4% for cryptorchidism [1]
2 Methods This is a retrospective study of all hypospadias patients treated by the DUCKETT technique from January, 1st 2003 to December, 31st 2015
Hypospadias was anterior in 14 cases (34%), middle in 12 cases (29%), and posterior in 15 cases (36%)

Summary

Introduction

Hypospadias is the second most frequent congenital condition in boys after cryptorchidism, with an incidence of 0.3–0.7% compared to 2–4% for cryptorchidism. Since the 1980s, single-stage operations, such as the one described by Duckett, have been adopted by some authors. To assess the results of hypospadias surgery by tubed pedicled preputial island flap (DUCKETT’s procedure) in a West African reference hospital. Surgery should be offered for all forms of hypospadias, but there is no consensus on the minimum age for the surgery. The results of this surgery pose a problem because of its many complications. A few studies have evaluated the results of DUCKETT’s procedure for hypospadias in our countries. The aim of this work was to evaluate the results of DUCKETT’s pedicled prepucial flap procedure for hypospadias treatment in a reference hospital in West Africa

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