Background: proximal hypospadias with sever ventral curvature is a challenging condition. some surgeons prefer to use one-stage repair to provide the advantages of minimizing operative trauma, allowing the use of unscarred skin however others preferred to use two-stages repair, to avoid complications such as urethrocutaneous fistula, urethral strictures or recurrence .This study is aimed to evaluate the outcomes of the two-stages repair using a free preputial graft in patients with primary proximal hypospadias with ventral curvature (VC) 30 degrees or greater.
Patients and Methods: This research was a forward-looking case study conducted during the period from December 2020 to December 2021 in the department of pediatric surgery, Al-Azhar university hospitals after approval by the Al Azhar Faculty of Medicine Ethical Review Committee. The research included 15 patients presented to the outpatient clinics with primary proximal hypospadias with ventral curvature whom fulfilled the required Criteria this patient submitted for staged tubularized preputial graft (STAG) repair.
Results: In our study (n=15), as regard the first stage only contraction occurred in 2 cases (13.3%), and the second stage urethrocutaneous fistula in 1cases (6.7%), Glans dehiscence in 1 case (6.7%), 1 case (6.7%) of urethral stricture. the overall complications in the second stage was in 3 cases about (20%), after management of all complications all patient have excellent function and cosmetic results.
Conclusion STAG technique seems to be a one of preferable option for primary proximal hypospadias repair and it is reliable, effective, low complication rate, better urinary function and good cosmetic results.