COMMON PRACTICE OF HYPOSPADIEAS MANAGEMENT BY PEDIATRIC UROLOGIST IN INDONESIA A MULTI-CENTER DESCRIPTIVE STUDY FROM REFERRAL HOSPITALS

ABSTRAC : BACKGROUND : Hypospadies is the second most common congenital anomalies among human congenital disabilities. There are over 300 surgery yecniques being intrucduced to teat hypospaies. The successful of hypospadies repair is assessed by several outcome as weel as complications following surgery. AIM : This study aims to show the multicenter hypospadias data in Indonesia descriptively. METHODS : All the data were compiled based on questionnaires, wich were distributed to Indonesian pediatric urologist. The questionnaire includes several questions containing demographic asped, preferred techtiques being used, and complications being found regarding hypospadies repair. RESULTS : Eghleen Indonesian pediatric urologist from 12 centres involved in this study. The data were collected from June – September 2018 based on the surgeon’s experience throughout 2017. From 591 cases based on the returned questionnaire, penile-type hypospadies was the most common type hypospadies being treated (35,7%) followed by penocrotal (28,9%) and scrotal –type (12,9%). Moderate severity of chordee was mosly seen among all cases (40,6%). Tubularised incised plate (TIP), + Thiersch Duplay, was the most common technique being used to treat hypospadias (44,3%), followed by only island preputial flap (14,9%) and two-stage technique (14%). The incidence of urethrocutaneous fistulae in this study was 13,9%. CONLUSION : This study showed how Indonesian pediatric urologist dealt with hypospadias cases. TIP + Thiersch Duplay procedure being the preferred technique used by most participants and the rate of urehrocutaneous fistulae as one of the complications was comparable with previous studies.