MEATAL STENOSIS

Abstract

Background: Hypospadias is one of the most common congenital anomaliesoccurring in males. It is a condition in which the urethral opening, called urinary meatus, doesnot form completely to the tip of the penis. Instead, this opening may be located anywhere alongthe penis. Incidence rates of hypospadias differ greatly by urologic centres. Studies reported0.4% (1/250) to 0.8% (1/125) incidence rates in all newborn male infants. This study will help usfinding the complications, mainly meatal stenosis, after repairing distal hypospadias as well asthe surgical procedures preferred by our Pakistani surgeons for it. Objectives: To determinethe frequency of meatal stenosis after two stage Bracka’s technique procedure repair for distalpenile hypospadias. Study Design: Descriptive study. Setting: Department of Plastic Surgery,Hayatabad Medical Complex, Peshawar. Period: 1st June 2014 to 31st May 2015. Methodology:All male patients ranging from 1-20 years old, patients with distal penile hypospadias withoutchordae since birth were included. Along with meatal stenosis after Bracka repair procedurefor distal penile hypospadias was recorded on a predesigned proforma. Results: In this study53.4% patients were in age range 1-5 years, 34.7% patients were in age range 6-10 years,10.2% patients were in age range 10-15 years. Mean age was 6.17 years with SD ±3.34. Inwhich 11.4% patients had meatal stenosis while 88.6% patients didn’t had meatal stenosis.Conclusion: Our study concludes that the frequency of meatal stenosis in our setup was 11.4%after two staged Bracka repair for distal penile hypospadias.