Author:

Abstract

Introduction: Textbooks classify 60% of hypospadias as distal and 40% as proximal based on the anatomical location of the urinary meatus. Studies on the detailed spectrum of hypospadias however, are rare.

Objectives: To describe the anatomical spectrum of hypospadias and the age at presentation for surgery.

Method: This descriptive study analysed data of 100 consecutive hypospadias reconstructions performed by the author at the day surgical unit of The Lady Ridgeway Hospital for Children (LRH) from 1^st January 2014 to 28^th February 2018. Data were collected retrospectively by the author by going through the surgical clinic records and author’s operations log book. Ethical approval was obtained from the LRH ethical review committee.

Results: Of the total 100 hypospadias, 74 had a distally placed urinary meatus and the rest had a proximally placed meatus. Children were divided into four categories according to the age at presentation for surgery. Only 31% presented for surgery before 2 years of age.

Conclusions: In the study carried out at the LRH day surgical unit 74% of the hypospadias had a distally placed urinary meatus and 26% a proximally placed meatus. In this study only 31% presented for surgery before 2 years of age.

Sri Lanka Journal of Child Health, 2019; 48(4): 305-307

Keywords: Anatomical spectrum of hypospadias, Timely surgery for hypospadias, Hypospadias reconstruction in children