Clinical profile, factors associated with early complications and parental/caretaker satisfaction following hypospadias repair Experience from Zonal Referal Hospital in Tanzania

By:

F.J. Kiwara

Contributor(s):

Material type: Text

TextLanguage: English Series: ; Journal / East African Medical Journal / Vol. 100 No. 2 (2023)Publication details: Mwanza, Tanzania : Catholic University of Health and Allied Sciences [CUHAS-Bugando] : 2023Description: Includes ReferencesISSN:

eISSN: 0012-835X

Subject(s):

Summary: Abstract : Background: Hypospadias is the leading pediatric urological condition at Bugando Medical Centre that account for 4.5% of all urology admission. Globally, patients/ parental repair satisfaction always diverse. This study aimed at determining satisfaction and factors associated with early complications. Methods: This retrospective and prospective hospital-based study involved all male subjects who underwent hypospadias repair at Bugando Medical Centre from May 2018 to April 2019. All subjects were followed up for a period of onemonth post repair. Data were analyzed by STATA version13. Results: A total of 66 subjects were studied, their median age was 3years IQR [9months to 13years]. Early complication was observed in 43.9% of subjects with urethral-cutaneous fistula (UCF) accounting for the majority 20(31.2%). Re-do operations, presence of chordee and use of vicryl 4.0 as the suture material were statistically significant factors associated with early complication. Majorities 52(92.86%) of the parental/ caretakers were satisfied with the repair outcome. Conclusion: There is high early hypospadias repair complication rate (43.9%) with UCF being the leading (31.3%). Re-do repairs, use of vicryl 4.0 suture and presence of chordee were statistically associated with early complications. Majority of parental/ caretaker were satisfied with the outcome.

Item type: RESEARCH ARTICLES

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Item type	Current library	Status	Barcode
RESEARCH ARTICLES	MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO	Not for loan	20240611085958.0

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Abstract :

Background: Hypospadias is the leading pediatric urological condition at Bugando Medical Centre that account for 4.5% of all urology admission. Globally, patients/ parental repair satisfaction always diverse. This study aimed at determining satisfaction and factors associated with early complications.

Methods: This retrospective and prospective hospital-based study involved all male subjects who underwent hypospadias repair at Bugando Medical Centre from May 2018 to April 2019. All subjects were followed up for a period of onemonth post repair. Data were analyzed by STATA version13.

Results: A total of 66 subjects were studied, their median age was 3years IQR [9months to 13years]. Early complication was observed in 43.9% of subjects with urethral-cutaneous fistula (UCF) accounting for the majority 20(31.2%). Re-do operations, presence of chordee and use of vicryl 4.0 as the suture material were statistically significant factors associated with early complication. Majorities 52(92.86%) of the parental/ caretakers were satisfied with the repair outcome.

Conclusion: There is high early hypospadias repair complication rate (43.9%) with UCF being the leading (31.3%). Re-do repairs, use of vicryl 4.0 suture and presence of chordee were statistically associated with early complications. Majority of parental/ caretaker were satisfied with the outcome.

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