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

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.