Objective: To describe the clinicopathological features and evaluate the results of treatment of hypospadias at Conakry teaching hospital. Patients and Method: This retrospective descriptive study was based on 60 cases of hypospadias observed over a 6-year period from 1st January 2001 to 31 December 2006, corresponding to all cases seen in the Urology-Andrology and Paediatric Surgery departments of Conakry teaching hospital. Results: The mean age of the patients was 8 years (range: one day to 33 years). Forty per cent (n = 24) of patients were less than 4 years old. Patients over the age of 20 represented 16.7 (n = 10) of this sample. Hypospadias was anterior in one half of cases, middle in 12 cases and posterior in 18 cases. Cryptorchidism, inguinal hernia and umbilical hernia were the main diseases associated with hypospadias. Seventy per cent (n = 42) of patients were treated by one-stage repair and 30 (n = 18) were treated by two-stage repair. The surgical techniques most frequently used were those of Duplay (35), Mathieu (25) and Ducker (16.7). The results of treatment, assessed after a mean follow-up of 8 months, were good in 61.7 of cases, moderate in 15 of cases and poor in 23.3 of cases. Urethrocutaneous fistula (7 cases) and flap necrosis (5 cases) were the main postoperative complications. The best results were obtained by the Mathieu technique with 9 good results out of 15 cases. Conclusion: Hypospadias is not exceptional in our daily practice, but its treatment is associated with complications related to the conditions in which this type of surgery is performed in our country. Improvement of our results requires not only training of paediatrician urologists but also acquisition of microscopic surgery equipment.
展开▼
