Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children of age 1 to 12 years. Children with hypospadias who are eligible for single stage Tubularized Incised Plate Urethroplasty. Urethral plate width more than 6mm. Children who have not undergone circumcision. Children who have not undergone prior hypospadias repair. Children whose parents are willing to provide informed written consent.
Exclusion criteria
Exclusion criteria: Children with hypospadias with chordee. Children requiring staged procedure, onlay flap repair.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the combined incidence of postoperative complications i.e., urethrocutaneous fistula and glans dehiscence in Tubularized Incised Plate urethroplasty with or without the use of de-epithelialized dorsal preputial dartos flap as an intervening layer at 6 months follow-up after surgery.Timepoint: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To compare the aforementioned groups for the following outcomes: a.Intra operative outcomes Duration of surgery (in minutes) Intra operative blood loss (in millilitres) Injury to dorsal neurovascular bundle b.Postoperative outcomes Surgical site infection Skin necrosis. Duration of dressing Duration of catheterisation Duration of hospital stay 2.To evaluate the cosmetic appearance of penis & meatal orientation using Hypospadias Objective Penile Evaluation (HOPE) score at 6 month follow-up after surgery. Timepoint: Intraoperative outcomes are noted at the time of surgery Postoperative outcomes are noted at 2 weeks after surgery. Cosmetic evaluation is done at 6 months after surgery. | — |
Countries
India
Contacts
All India Institute of Medical Sciences