Results of distal hypospadias repair after considering artificial erection test as a mandatory step ;Minia university pediatric surgery unit experience
Shaker, O., Moustafa, A., Haredi, M., Khedre, M. (2025). Results of distal hypospadias repair after considering artificial erection test as a mandatory step ;Minia university pediatric surgery unit experience. EKB Journal Management System, (), -. doi: 10.21608/mjmr.2025.359592.1900
Omar Nagy Shaker; Alaa AE Moustafa; Mostafa MahmoudHanafi Haredi; Mohamed Mahmoud Mamdouh Khedre. "Results of distal hypospadias repair after considering artificial erection test as a mandatory step ;Minia university pediatric surgery unit experience". EKB Journal Management System, , , 2025, -. doi: 10.21608/mjmr.2025.359592.1900
Shaker, O., Moustafa, A., Haredi, M., Khedre, M. (2025). 'Results of distal hypospadias repair after considering artificial erection test as a mandatory step ;Minia university pediatric surgery unit experience', EKB Journal Management System, (), pp. -. doi: 10.21608/mjmr.2025.359592.1900
Shaker, O., Moustafa, A., Haredi, M., Khedre, M. Results of distal hypospadias repair after considering artificial erection test as a mandatory step ;Minia university pediatric surgery unit experience. EKB Journal Management System, 2025; (): -. doi: 10.21608/mjmr.2025.359592.1900

Results of distal hypospadias repair after considering artificial erection test as a mandatory step ;Minia university pediatric surgery unit experience

Minia Journal of Medical Research
Articles in Press, Accepted Manuscript, Available Online from 04 March 2025  XML
Document Type: Original Article
DOI: 10.21608/mjmr.2025.359592.1900
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Authors
Omar Nagy Shaker1; Alaa AE Moustafaorcid 2; Mostafa MahmoudHanafi Haredi email 3; Mohamed Mahmoud Mamdouh Khedre4
1Pediatric surgery, Faculty of medicine Minia university
2Pediatric Surgery Unit, Minia University Hospitals, Minia University, Egypt
3Pediatric surgery, faculty of medicine, Minya university, Minya, Egypt.
4Pediatric surgery, faculty of medicine, Minia university
Abstract
Background: The tubularized incised plate (TIP) urethroplasty is a widely adopted technique. Artificial erection testing (AET) during surgery is crucial for hypospadias repair, but its routine use remains inconsistent.



Patients and Methods: This prospective descriptive study was conducted at the Pediatric Surgery Unit, Minia University Hospital, involving 50 patients aged 6 months to 14 years with distal hypospadias. All patients underwent TIP urethroplasty with routine AET. Outcomes were assessed based on intraoperative findings, postoperative complications, and follow-up evaluations over six months.



Results: The mean patient age was 2.46 ± 1.4 years. Most cases had subcoronal hypospadias (40%), followed by coronal (24%), glanular (24%), and mid-penile (12%) variants. AET revealed that 58% of patients had minimal curvature (≤15°), while 42% had moderate curvature (16–30°), requiring additional correction. TIP urethroplasty was performed in 62% of cases, with dorsal plication added in 32%. Postoperative complications included fistulas in 10% of cases, residual curvature in 6%, meatal stenosis in 2%, and wound infection, hematoma, or dehiscence in 2% each. The mean operative time was 56 ± 13 minutes, with no intraoperative bleeding or fistulas.



Conclusion: The inclusion of AET as a mandatory intraoperative step in distal hypospadias repair improves surgical outcomes by reducing residual curvature and complications.
Keywords
Hypospadias; Urethroplasty; Artificial erection test
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