ANALYSIS OF THE RESULTS OF SURGICAL TREATMENTOF HYPOSРADIA IN CHILDREN FOR 2010 – 2015

Abstract

Introduction. In the last decades, various methods of surgical correction have been widely used for the treatment of
hypospadias. Despite this, there are different types of complications occurred in both the early postoperative and late
periods.
Aim. The purpose of our research is to analyze the results of surgical treatment of hypospadias by instantaneous and
step – by – step methods of urethroplasty.
Materials and methods. A simultaneous cross – sectional study of the results of surgical treatment of hypospadias was
carried out in boys aged from three months to 17 years, who were hospitalized in the “National research Center for Maternal
and Child health” and “Children's hospital №2 in Astana” from January 2010 to December 2015. "The medical documentation form 003 / y" – a medical card of a hospital patient – was taken the material of the study. Held the copy of the data: age, local
status data, methods of surgical interventions, the data of laboratory and instrumental investigations, the types of
postoperative complications from 304 stationary cards of the patients, who underwent preoperative testing and treatment in
these hospitals. The average age of patients was 66,9 months, minimum 3 months, maximum 204 months. One – and two –
stage types of urethroplasty were made on 179 patients with primary hypospadias from all patients were given using grafts of
the mucous membrane of the cheek, tongue and skin of the foreskin, to 113 patients, who were sent from different regions of
the country, was held urethra reconstruction, 13 patients did not undergo surgery because of catarrhal phenomena from the
upper respiratory tract.
Results. The average age of patients was 66,9 months, minimum 3 months, maximum 204 months. Primary
hypospadias was 175 (57,6%) of them: distal form – 68 (22,3%), medium – 59 (19.3%), proximal – 40 (13,1%), hypospadias
without hypospadias – 8 (2,6%). Hospitalized patients with a history of various types of hypospadias correction were – 115
(37,8%).
The number of postoperative complications was: urethral and skin fistula in 56 (18.4%), dystopia of the neomeatus was
observed in 35 (11.5%) patients, penile deformity of the “plus tissue” type was – 23 (7.6%), neo-urethra stenosis occurred in
7 (2.3%) patients.
Conclusion Thus, the occurrence of postoperative complications involves conducting research to develop standardized
approaches to the assessment of hypospadias and choice of surgical treatment in order to improve the results of
urethroplasty.