Treatment of distal forms of hypospadias in children

INTRODUCTION. Hypospadias is a common congenital anomaly of the external genitalia in boys, characterized by the external urethral opening located on the ventral surface of the penis, scrotum, or perineum. Surgical treatment aims to restore normal anatomy and urinary function, correct penile curvature, and achieve an aesthetically pleasing result. This article analyzes current hypospadias correction methods, optimal surgical timing, the incidence and types of complications, and short- and long-term treatment outcomes. Based on international and domestic research, it is concluded that the choice of method should be based on the severity of hypospadias, the characteristics of the urethral repair, the surgeon’s experience, and postoperative management options. The OBJECTIVE of this study was to improve the outcome of surgical treatment for distal hypospadias in children. METHODS AND MATERIALS. The study included 85 children with distal hypospadias, aged 1 to 16 years, between 2021 and 2025. RESULTS. Complications during surgical interventions occurred in 14.2 % of cases, with a success rate of 84.2 %. CONCLUSION. Successful hypospadias treatment depends not only on the correct choice of surgery but also on many aspects of postoperative care, including optimal urinary diversion and dressing application techniques. The use of modern atraumatic suture material and microsurgical instrumentation significantly improves surgical outcomes.

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