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۱Management and out Come of Bracka’s Procedure on Penile Shaft Hypospadias
اطلاعات انتشار: World Applied Sciences Journal، بيست و هشتم،شماره۵، ۲۰۱۳، سال
تعداد صفحات: ۶
To evaluate the outcome of Bracka’s procedure in management of patients with penile hypospadias admitted at Liaquat University Hospital Jamshoro. Observational (analytical) Study. The study was conducted at Urology Department, Plastic surgery Department and Pediatric Surgery Department of Liaquat University Hospital Jamshoro from October 2007 to September 2008. All the patients with penile shaft hypospedias were included in this study and those patients who were above age 15 years, other congenital and alreadycircumscribed penis were excluded from this study. All the patients were operated under general anesthesia. Then the detailed examination on the table is carried out regarding the position and size of abnormal meatus, the presence of chordee, the quality and width of urethral plate and the configuration of glans penis. The surgical technique applied on the basis of stage 1 and 2. The data were entered and analyzed in Statistical Program SPSS version 16.0. Total number of 30 cases were included in this study. 21(70%) patients had the Distal Penile Hypospadias, 6(20%) had the Proximal penile and 3(10%) patients had mid penile Hypospadias. Various post operative Complications were included Chordee 6.7%, Infection 3.3% and loss of split thickness skin graft 3.3% and after stage II 6.7% developed fistula formation and edema in 6.7% of patients. In this study the outcomes of Bracka’s procedure include Voiding direction and meatal opening, 29 out of 30 patients had straight voiding direction and only one patient had deviated voiding direction, similarly 29 out of 30 patients had near normal meatal opening and only one had abnormal meatal opening. From this study we concluded that Bracka''s technique gives good result. Its versatility enables its use in all types of hypospadias with consistently reproducible results with minimal complications. At the end of the second stage a circumcised penis with naturally looking vertical slit neo–meatus at the apex of the glans is produced.
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