CLINICAL PROFILE OF PATIENTS WITH HYPOSPADIAS IN SAIFUL ANWAR GENERAL HOSPITAL, MALANG
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Abstract
Objective: This study aims to present the clinical profile of hypospadias patients in the Urology Department of Saiful Anwar Hospital. Material & Methods: This retrospective study analysed the characteristics of delayed hypospadias cases at Saiful Anwar General Hospital in Malang. The study utilized a descriptive design with a quantitative approach, conducted from January 2019 to February 2024. All patients with hypospadias who visited were included in this study. Data were presented in percentage format to illustrate the distribution of cases. Results: Among the 250 patients, 242 (97%) were classified as having a delayed diagnosis. Of all the cases, 141 (56%) were located in Malang. Proximal hypospadias was the most prevalent anomaly, affecting 131 (52%) of the patients. Additionally, there were 88 cases (35% of the total) of mid-shaft hypospadias and 31 cases (13% of the total) of distal hypospadias. Out of the total, 39 patients (16%) had undescended testis (UDT), while 53 patients (22%) had bifid scrotum as an additional condition. Of the 46 patients, 18.4% experienced preterm labor, and approximately 78% of the newborns, specifically 194 of them, had a birth weight over 2500 grams. The healthcare provider participated in 226 out of 232 births, accounting for 97% of the total. The condition was primarily diagnosed by obstetricians, who identified 42% of cases, while midwives identified 58% of the cases. Conclusion: Most hypospadias patients presenting at Saiful Anwar Hospital are diagnosed late, with proximal hypospadias being the most prevalent type. Accompanying conditions include bifid scrotum, occurring in 22%, and undescended testes, present in 16% of cases. This finding presents a potential opportunity to enhance the standard of care. Keywords: Hypospadias, UDT, bifid scrotum.
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Hypospadias, UDT, bifid scrotum.
Yu X, Nassar N, Mastroiacovo P, Canfield M, Groisman B, Bermejo-Sánchez E, et al. Hypospadias Prevalence and Trends in International Birth Defect Surveillance Systems, 1980-2010. Eur Urol. 2019 Oct; 76(4): 482-490.
Bouty A, Ayers KL, Pask A, Heloury Y, Sinclair AH. The genetic and environmental factors underlying hypospadias. Sex Dev. 2016; 9(5): 239-259.
Springer A, Van Den Heijkant M, Baumann S. Worldwide prevalence of hypospadias. J Pediatr Urol. 2016; 12(3): 152-e1.
Hsieh MH, Alonzo DG, Gonzales ET, Jones EA, Cisek LJ, Roth DR. Ex-premature infant boys with hypospadias are similar in size to age-matched, ex-premature infant boys without hypospadias. J Pediatr Urol. 2011; 7(5): 543-547.
Chen MJ, Karaviti LP, Roth DR, Schlomer BJ. Birth prevalence of hypospadias and hypospadias risk factors in newborn males in the United States from 1997 to 2012. J Pediatr Urol. 2018; 14(5): 425-e1.
Arendt LH, Ramlau-Hansen CH, Wilcox AJ, Henriksen TB, Olsen J, Lindhard MS. Placental weight and male genital anomalies: a nationwide Danish cohort study. Am J Epidemiol. 2016; 183(12): 1122-1128.
Keays MA, Dave S. Current hypospadias management: Diagnosis, surgical management, and long-term patient-centred outcomes. Can Urol Assoc J. 2017; 11(1-2Suppl1): S48.
Chen YF, Huang WY, Chen SC, Guo YJ, Lan CF, Liu SH, et al. Factors associated with delayed pediatric hypospadias surgery in Taiwan: a population-based, nationwide analysis. J Formos Med Assoc. 2013; 112(1): 48-53.
Halaseh SA, Halaseh S, Ashour M. Hypospadias: a comprehensive review including its embryology, etiology and surgical techniques. Cureus. 2022; 14(7).
Gul M, Hildorf S, Silay MS. Sexual functions and fertility outcomes after hypospadias repair. Int J Impot Res. 2021; 33(2): 149-163.
Snodgrass P, Snodgrass W, Bush N. Parental concerns of boys with hypospadias. Res reports Urol. Published online 2021: 73-77.
Zhang Y, Chao M, Zhang W, Tang YM, Chen HC, Zhang KP, et al. Using buck’s fascia as an integral covering in urethroplasty to restore the anatomical structure of the penis in one-stage hypospadias repair: a multicenter Chinese study comprising 1,386 surgeries. Front Pediatr. 2021; 9: 695912.
Xu W, Zhang SC. Chinese pediatricians face a crisis: should they stay or leave? Pediatrics. 2014; 134(6): 1045-1047.
Xiong X, Zhang Z, Ren J, Zhang J, Pan X, Zhang L, et al. Impact of universal medical insurance system on the accessibility of medical service supply and affordability of patients in China. PLoS One. 2018; 13(3): e0193273.
Janardhana A, Daryanto B, Gumilar OB. Analysis of Factor Influencing Delayed Referral of Undescended Testis. Open Access Maced J Med Sci. 2023; 11(E).
Gozar H, Bara Z, Dicu E, Derzsi Z. Current perspectives in hypospadias research: A scoping review of articles published in 2021. Exp Ther Med. 2023; 25(5): 1-26.
Gabra A, Beyari BM, AlNuwaiser SJ, Allaf SM, Alghanmi R, Alrayiqi R, et al. Outcomes of Hypospadias Repair Based on Surgical Techniques: A 4-Year Retrospective Study. Res Reports Urol. Published online 2024: 79-87.
Wolffenbuttel KP, Wondergem N, Hoefnagels JJS, Dieleman GC, Pel JJ, Passchier BT, et al. Abnormal urine flow in boys with distal hypospadias before and after correction. J Urol. 2006; 176(4): 1733-1737.
Nuininga JE, De Gier RPE, Verschuren R, Feitz WFJ. Long-term outcome of different types of 1-stage hypospadias repair. J Urol. 2005; 174(4 Part 2): 1544-1548.