Preoperative cystourethroscopic evaluation of children with posterior hypospadias

TL;DR

This study shows that preoperative cystourethroscopy in children with posterior hypospadias helps detect hidden urinary tract issues that could impact surgery outcomes.

Contribution

The study highlights the importance of preoperative cystourethroscopy in identifying urinary tract anomalies in posterior hypospadias patients.

Findings

40.3% of children had an enlarged prostatic utricle.

11.5% had posterior urethral valves.

32.7% showed secondary bladder wall changes.

Abstract

Posterior hypospadias is often associated with silent lower urinary tract anomalies that may affect surgical outcomes. Therefore, it
is of interest to identify bladder and posterior urethral anomalies using cystourethroscopy. This observational study included 52 children
with posterior hypospadias at Dhaka Medical College Hospital over 18 months. All patients underwent preoperative cystourethroscopic
evaluation. Enlarged prostatic utricle was observed in 40.3% of patients, posterior urethral valve in 11.5%, and hydrodistention of
ureteric orifices in 21.2%. Secondary bladder wall changes were noted in 32.7% of patients. Preoperative cystourethroscopy is essential
for detecting lower urinary tract anomalies in posterior hypospadias. It helps guide surgical planning and may reduce postoperative
complications.