V.J. Barukhovych

Modern diagnosis and treatment of hypospadias in children

Despite advances in the treatment of children with hypospadias, rate of postoperative complications and unsatisfactory results remains high, that determines the need for further research.

838 children from 6 months to 17 years of age were treated with various forms of hypospadias within the period from 1992 to 2014. The first group included 311 patients, who were in the hospital from 1992 to 1997, the second - 260 patients, operated from 1998 to 2006, the third group - 267 patients operated from 2007 to 2014. Distal hypospadias was diagnosed in 199 (23,7%) patients, medium - in 479 (57,2%), proximal - in 107 (12,8%), hypospadias without hypospadias - in 53 (6,3%).

Patients of the first group were operated mainly with staging methods. Children in the second group were operated with the following methods: MAGPI - 21 (8,1%), Koff - 5 (1,9%), Mathieu - 63 (24,2%), TIP - 46 (17,7%), Mustarde - 24 (9,2%), Broadbent - 27 (10,4%), Broadbent + TAP - 1 (0,4%), TTPIF - 27 (10,4%), TTPIF + TAP - 1 (0,4%), Perovich - 13 (5,0%), Perovich + TAP - 1 (0,4%), Smith - 27 (10,4%), Smith + TAP - 4 (1,5%). Patients third group of methods were used: MAGPI - 14 (5,2%), Koff - 7 (2,6%), Mathieu - 72 (27,0%), TIP - 77 (28,8%), TIP + TAP - 3 (1,1%), Snod-graft - 53 (19,9%), Snod-graft + TAP - 4 (1,5%), Perovich - 9 (3,4%), Perovich + TAP - 3 (1,1%), Koyanagi - 3 (1,1%), modification of Smith - 15 (5,6%), modification of Smith + TAP - 4 (1,5%), Bracka - 3 (1,1 %).

Postoperative complications in the first group were observed in 110 (35,4%) patients, in the second - in 52 (20,0%), in the third group - in 29 (10,8%).

Thus the use of modern methods of diagnosis and treatment of hypospadias in children has reduced the total number of postoperative complications to 10,8%.