SURGICAL MANAGEMENT OF HYPOSPADIAS IN CHILDREN AN UPDATE FOCUSING ON CHORDEE PENILE CURVATURE

Introduction: Hypospadias, a condition where the urethra opens on the underside of the penis with related ventral penile ebb and flow, is the second most normal genital birth deformity in boys, following cryptorchidism. Objectives: The main objective of the study is to find the surgical management of hypospadias in children an update focusing on chordee penile curvature. Material and methods: The study was conducted at the Institute of Kidney Diseases, Hayatabad Peshawar, a tertiary care center known for its expertise in urological conditions and surgical interventions from June 2022 to June 2023. A retrospective observational study design was employed to assess the surgical management of hypospadias with a specific focus on chordee or penile curvature correction. Results: A total of 134 patients diagnosed with hypospadias and undergoing surgical intervention for chordee correction were included in the study. The age distribution of the patients ranged from 1 to 18 years, with a mean age of 8.5 ± 2.3 years. The surgical procedures utilized for chordee correction included the Tubularized Incised Plate (TIP) technique (n = 65), the Mathieu procedure (n = 45), and the Onlay Island Flap Urethroplasty (n = 24), among others. Conclusion: It is concluded that this study provides valuable insights into the surgical management of hypospadias with a particular emphasis on chordee correction. The findings underscore the significance of tailored surgical approaches that address both functional and cosmetic aspects of the condition.