This study aims to compare the surgical and functional outcomes of microsurgical single dartos flap versus double dartos flap in distal hypospadias repair.
Hypospadias is recognized as a frequent congenital defect of the male urogenital system, with its prevalence exhibiting significant regional and ethnic disparities globally. Despite continuous improvements in surgical methodology, the development of a urethrocutaneous fistula (UCF) remains a persistent and difficult postoperative challenge. Reported UCF rates fluctuate between 1% and over 20%, heavily influenced by factors such as the initial position of the meatus, the specific surgical approach, and the practitioner's level of expertise. Expanding on the use of a single-layer dartos flap (SDF), recent research has focused on whether a double-layer dartos flap (DDF) provides enhanced protection against fistula formation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Patients will undergo Microsurgical Single Dartos Flap.
Patients will undergo Microsurgical Double Dartos Flap.
Tanta University
Tanta, El-Gharbia, Egypt
RECRUITINGIncidence of the Uethrocutaneous fistula
Incidence of the Uethrocutaneous fistula will be recorded.
Time frame: 6 months after surgery
Incidence of the meatal stenosis
Incidence of the meatal stenosis will be recorded.
Time frame: 6 months after surgery
Wound infection rate
Wound infection rate will be recorded.
Time frame: 6 months after surgery
Cosmetic appearance
Cosmetic appearance will be recorded.
Time frame: 6 months after surgery
Overall complication rate
Overall complication rate will be recorded.
Time frame: 6 months after surgery
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