Comparison of prepucial skin, postauricular skin and buccal mucosal graft results in hypospadias repair.

OBJECTIVE

To compare the results of the prepucial, postauricular skin grafts and buccal mucosal graft in two-stage hypospadias repair.

DESIGN

Comparative study.

PLACE AND DURATION OF STUDY

The department of Plastic Surgery, Hayatabad Medical Complex, Peshawar. The duration of the study was three years (from January 1999 to December 2001).

PATIENTS AND METHODS

The study subjects included 242 patients with hypospadias who underwent two-stage Aivor Bracka repair.

RESULTS

The best results were obtained with prepucial skin graft in which the graft take was 95.3% and fistula rate was 3.2%. The incidence of graft contracture and graft loss was 20.5% and 11.7% respectively in buccal mucosal graft.

CONCLUSION

The prepucial skin graft, postauricular skin graft and buccal mucosal graft gives excellent results in terms of graft acceptance in stage I and graft contracture and fistula rate in stage II.