Single-Stage Vs Two-Stage Urethroplasty For Hypospadia

Abstract

Hypospadias is the most frequent congenital external genital deformity in boys, which affects 1/300 live male births worldwide with varying incidence rates in different nations. Hypospadias surgery has been historitically characterized by a multitude of techniques available for repair. This study compared single-stage and two-stage urethroplasty with regard to the outcomes and complications. This review was synthesized and obtained from various online databases. Scientific articles were selected based on the inclusion criteria. The result showed that hypospadias is a congenital anatomical abnormality of the male external genitalia and the second most common congenital disorder in males after cryptorchidism, but it is the most common penile congenital malformation. The purpose of surgery in hypospadias is to enhance genital attractiveness, stop splaying of the urine flow, allow the patient to pee while standing, eliminate sexual problems brought on by curvature, and enable semen deposition into the vagina during sexual activity. the choice of operation is frequently influenced by the surgeon's experience. Surgery can be broken down into one- or two-stage operations as well as into operations including tubularization, augmentation, and replacement of the urethral plate. Single-stage urethroplasty can be used for anterior to posterior hypospadias, but two-stage urethroplasty is preferremce for treating proximal hypospadias with less complication and more desirable aesthetic consequences.