Abstract

The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. The journal also has a website. Free full text access is available for all readers.The Sri Lanka Journal of Child Health is now indexed in SciVerse Scopus (Source Record ID 19900193609), Index Medicus for South-East Asia Region (IMSEAR), CABI (Centre for Agriculture and Bioscience International Global Health Database), DOAJ and is available in Google, as well as Google Scholar.The policies of the journal are modelled on the Committee on Publication Ethics (COPE) Guidelines on Principles of Transparency and Best Practice in Scholarly Publishing. Sri Lanka Journal of Child Health is recognised by the International Committee of Medical Journal Editors (ICMJE) as a publication following the ICMJE Recommendations.

Highlights

  • Textbooks classify 60% of hypospadias as distal and 40% as proximal based on the anatomical location of the urinary meatus[1]

  • To describe the age at presentation for surgery. This descriptive study analysed data of 100 consecutive hypospadias reconstructions performed by the author at the day surgical unit of The Lady Ridgeway Hospital for Children (LRH) from 1st January 2014 to 28th February 2018

  • Classification of hypospadias based on anatomical location of urinary meatus (Figure 1) Of the total 100 hypospadias, 74 had a distally placed urinary meatus and the rest had a proximally placed meatus

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Summary

Introduction

Textbooks classify 60% of hypospadias as distal and 40% as proximal based on the anatomical location of the urinary meatus[1]. Studies on detailed spectrum of hypospadias are rare. Knowledge on the detailed anatomical location of urinary meatus helps to plan reconstruction and to predict post-surgical expectations. Surgical reconstruction before the child acquires potty training i.e. 2 years of age as per the Royal Manchester Children’s Hospital in UK protocol, facilitates achieving the optimal anatomical and psychological development[2,3]. Paediatricians as the primary care lead clinicians can play an important role in facilitating timely surgery by motivating parents

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