Experience of surgical treatment of hypospadias with precision technique
Research is devoted to surgical treatment of hypospadias in 43 patients aged from 3 years to 24 years. Balanic form was in 26 (60.1%), penile - in 12 (27.9%), penoscrotal - in 3 patients (7%) and scrotal - in 2 (4.7%). Surgery was performed by Duckett (2), two variant by Hodgson method (2), by Cecil-Culp-Bucknall method (4), two-step urethra formation by Duplay (11), three-step method (8), four-stage method (3) and by Salinas method (13). In general all patients underwent to 83 operations. In all cases, surgery was performed under an optical zoom (operating magnifier x 2.5 and x 4.5), using high-precision technique and thin (6/0-7/0) atraumatic suture material. Primary healing noted in 42 patients without complications. In one case there was urethral fistula, which is eliminated in 6 months. In remote period observed 41 patients. In all observed urination on formed urethra is free, penis has satisfactory condition, from genitourinary system patients don't have any complaints. Use of precision technique and optical zoom with thin sutures led to good results.