Factors Influencing Waiting Time in Hypospadias Repair Surgery
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Date
2022-01-19
Authors
Idiodi-Thomas, HO
Ademuyiwa, AO
Elebute, OA
Alakoloko, FM
Bode, CO
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer
Abstract
Aims: Hypospadias is a common congenital anomaly of the urethra and phallus, which is not
life threatening. It is thus less prioritised in a resource‑limited setting. The aim of this study
was to evaluate the management of hypospadias by our paediatric surgery unit and determine
the factors affecting the delay between presentation and surgical repair while proffering possible
solutions to such delay in hypospadias repair surgery.
Patients and Methods: This was a retrospective review of all hypospadias repair surgeries
carried out by our paediatric surgery unit over a 38‑month period, evaluating the period between
presentation and first surgery for each patient. Data were analysed using IBM SPSS Statistics
for Windows, Version 20.0 (IBM Corp., Released 2011, Armonk, NY, USA). Chi‑square test
was used to compare categorical variables and P ≤ 0.05 was considered significant.
Results: In 38 months, 47 operations for hypospadias were carried out on 42 boys. Thirty‑seven
patients (88.1%) had >3 months delay to surgery. The most frequent contributory factor to
delay was unavailable theatre space (13 patients, 31%). Surgical outcome was good in only
16 patients (44%). Of the 16 patients with good outcome, 10 (63%) were operated between the
ages of 2–4 years (P > 0.05).
Conclusions: Multiple factors are responsible for delays in carrying out hypospadias surgery
in resource‑limited environments, notably securing a functional operating theatre suite in the
light of more urgent conditions. To combat these delays, we recommend having dedicated
hypospadias repair sessions and surgeons dedicated to hypospadias repair. Hypospadias outreach
camps are also proposed.
Description
Scholarly article
Keywords
Hypospadias , congenital anomaly , urethra , Phallus , Research Subject Categories::MEDICINE::Surgery
Citation
Idiodi-Thomas HO, Ademuyiwa AO, Elebute OA, Alakaloko FM, Bode CO. Factors influencing waiting time in hypospadias repair surgery. Niger Postgrad Med J 2016;23:21-4.