Surgical Management of Hypospadias at the Mbour Public Hospital

Introduction: Hypospadias is an abnormality of urethral meatus position located on the ventral faceeof the penis.

Objective: To determine the epidemiological and clinical characteristics and evaluate the therapeutic management of hypospadias patients operated on at Mbour hospital.

Patients and Method: We carried out a descriptive cross-sectional study in the urology department of Grand Mbour hospital over a period of 7 years from January 1, 2015 to November 30, 2021.

Results: We collected 31 cases of hypospadias during the study period. The average age of our patients was 4.4 years (Range: 4 months; 31 years). The hypospadias was anterior in 16 patients, mid shaft in 11 patients and posterior in 4 patients. The most used surgical techniqueswas that of Mathieu (35.5%) and Duckett (35.5%). The average duration of urinary drainage was 6.3 days. The average length of hospitalization was 5.39 days. Postoperative complications were found in 48.40% of patients including urethrocutaneous fistula (29%).

Conclusion: The management of hypospadias in our conditions requires an improvement of the technical platform in order to obtain better results.

Keywords: Hypospadias, Surgery, Drainage, Complications.