COMPARATIVE EVALUATION OF BUCCAL MUCOSAL GRAFT AND TRANSVERSE PREPUTIAL ISLAND FLAP IN PROXIMAL HYPOSPADIAS AND HYPOSPADIAS CRIPPLE

Introduction: Hypospadias is a common congenital defect of male child which occur due to abnormal development of the penis. Meatal position may be located anywhere along the penile shaft, but more severe forms of hypospadias may have a urethral meatus located at the scrotum or perineum. Various methods for urethral reconstructions for hypospadias are used but with various complications. We have evaluated the outcome of buccal mucosal graft in proximal hypospadias and hypospadias cripple when local tissue is not sufficient for reconstruction. Material & Methods : This prospective study was carried out in Burn and Plastic Surgery unit of N S C B Medical College for one year. Study comprised of patients of proximal penile hypospadias, penoscrotal hypospadias and hypospadias cripple in the age group of 1 to 14 years undergone for urethral reconstruction. Results and Observations : Maximum patients were of below 5 year (66.66%). Majority of cases had severe degree of chordee and 27.27% cases were having moderate degree of chordee. 72.22% cases have reported no complications. Pin hole meatus was the most common associated anomaly in 11.11% cases. Conclusions: Local penile tissue is best for urethral reconstruction in proximal hypospadias repair but when local tissue is in paucity buccal mucosal graft technique can be used as single stage procedure.