Assessment Study of Glans Approximation (Wingless Glanuloplasty) for Repair of Distal Penile Hypospadias (Pilot Study

Abstract

ABSTRACT Background: Hypospadias refers to a birth defect of the urethra in the male where the urinary opening is not at the correct location on the head of the penis. It is the second most common birth abnormality in boys, affecting approximately 1 of every 300. Objective: To evaluate the outcomes, safety, efficacy, and cosmetic appearance of glans approximation (wingless glanuloplasty) in treatment of distal penile hypospadias (glanular & coronal). Patients and Methods: The study was Controlled, Prospective pilot study, conducted on (10) patients with penile hypospadias with different degree (coronal & DPH). This study was done at El- Demerdash University Hospital and take one year. The patients were who fulfill the following inclusion criteria. Results: As regards the complication rate in our study, we found that these complications similar between the two groups, with non significant differences. Regarding coronal group, complications were detected in 5 out of the 7 cases (2 cases developed infection, and one case with hematoma, catheter blockage or fistula). Regarding DPH group, complications were found in 2 out of the 3 cases (one case for each of hematoma and fistula). None of the studied cases in the two groups developed catheter slippage, meatal stenosis or glans dehiscence. Conclusion: Approximated glanuloplasty has many advantages, lower operative time, lower blood loss, no need for tourniquet and is a simple procedure for the hypospadiologist. Keywords: Glans approximation