Redo hypospadias repair by a single surgeon after failed hypospadias surgeries: Experience from a developing country DOI: https://doi.org/10.36811/gju.2020.110010 GJU: October-2020: Page No: 17-23 Page: 17 www.raftpubs.com Global Journal of Urology Research Article Open Access Redo hypospadias repair by a single surgeon after failed hypospadias surgeries: Experience from a developing country Md. Abdullah Al Farooq, MA Mushfiqur Rahman and Tanvir Kabir Chowdhury* Department of Pediatric Surgery, Chittagong Medical College & Hospital, Chattogram, Bangladesh *Corresponding Author: Tanvir Kabir Chowdhury, KB Fazlul Kader road, Chattogram 4203, Bangladesh, Tel: +8801771477766; Email: ivan_tanvir@yahoo.com Received Date: Aug 13, 2020 / Accepted Date: Oct 06, 2020/ Published Date: Oct 10, 2020 Abstract Background: Hypospadias surgeries are often complicated with fistulas, meatal stenosis and disruptions. We report our series of redo surgeries for failed primary repairs. Methods: We prospectively observed all the redo hypospadias repairs done by the principal author between 2013 and 2017. Thiersch-Duplay urethroplasty was done if the urethral plate was adequately wide and intact; tubularized incised plate (TIP) urethroplasty was performed if the urethral plate was intact but, narrower than 8 mm; 2 stage procedures were done with oral mucosal graft (OMG) if the urethral plate was deficient or scarred with significant chordee. Result: There was a total of 31 patients. Age ranged from 18 months to 15 years (mean 8.05 ±4.27 years). Sixteen (51.61%) patients underwent only one surgery, 10 (32.26%) patients underwent 2 surgeries, 2 patients (6.45%) underwent 3 surgeries, and 3 patients (9.68%) underwent 4 surgeries prior to presenting to us before our redo surgeries.We had performed TIP urethroplasty in 16 (51.61%) patients, meatal based flap urethroplasty in 12 (38.71%), OMG followed by urethroplasty in 2 (6.45%), and repair of urethra-cutaneous (UC) fistula in 1 (3.23%) patient. Ten (32.26%) Complications occurred in 8 (25.80%) patients. Unsuccessful repair was noted in 03 (9.67%) patients (UC fistula 1, glans dehiscence with UC fistula 1, and glans dehiscence 1). Conclusion: Thiersch-Duplay and TIP repair can be successfully performed in redo Hypospadias surgeries with acceptable complication rate. OMG graft can be reserved for cases with gross scarring of the urethral plate. Keywords: Failed hypospadias repair; Tubularized incised plate urethroplasty; Thiersch-Duplay; Outcome Cite this article as: Abdullah Al Farooq, MA Mushfiqur Rahman, Tanvir Kabir Chowdhury. 2020. Redo hypospadias repair by a single surgeon after failed hypospadias surgeries: Experience from a developing country. Glob J Urol. 2: 17-23. Copyright: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Copyright © 2020; Abdullah Al Farooq Introduction Hypospadias is one the most common abnormalities in children with an incidence of one in every 250 live births. Unfortunately, unlike some other congenital anomalies, the results of hypospadias repair are not always successful and failed hypospadias repair is a problem worldwide. In spite of the use of evolving new techniques, newly available fine and better suture materials, and use of