A Two Years Review of Patients with Hypospadias at Urology Department, Kilimanjaro Christian Medical Center in Moshi, Tanzania: What is the situation?

Background: Hypospadias is the commonest congenital malformation of the penis characterized by abnormal ventral opening of the urethral meatus, abnormal ventral curvature of the penis (chordee) and an abnormal distribution of the foreskin (Dorsal hood). This study was aimed at documenting the profile and outcome of patients treated for Hypospadias at Kilimanjaro Christian Medical Center(KCMC) for two years.
Methods: This was a two years hospital based descriptive retrospective cross sectional study conducted at KCMC referral hospital by using a structured data collecting tool. The data were analyzed using SPSS software.
Results: A total of 80 case notes of patients treated for Hypospadias in a period of two years were enrolled and reviewed, of which 47(59%) had distal Hypospadias, 21(26%) had proximal hypospadias and 12 (15%) had midshaft hypospadias. Majority of the patients, 44(55%) with hypospadias were treated by Snodgrass urethroplasty,15 were treated by staged hypospadias, 9 by Duckett, 8 by modified Mathieu’s and only 4 were treated by thierschduplay. Most our patients recovered without complications.
Conclusion: Distal hypospadias is the commonest presentation of hypospadias and it is mainly treated by Snodgrass urethroplasty together with the midshaft hypospadias whereas proximal hypospadias is mainly treated by staged hypospadias repair. Few patients can develop early and/or late complications after repair.