Long-Term Outcomes of the Glanular Rotation Procedure (GRP) for Glanular and Coronal Hypospadias | ||
| Ain Shams Journal of Surgery | ||
| Volume 18, Issue 4, October 2025, Pages 271-277 PDF (555.12 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2025.393720.1212 | ||
| Authors | ||
| Abd El Hameed Kassaby* ; Sameh Abdelhay | ||
| Department of Pediatric Surgery, Ain Shams University Hospitals, Cairo, Egypt | ||
| Abstract | ||
| Introduction: Distal hypospadias repair aims at restoring both function and cosmesis. The Glanular Rotation Procedure (GRP) was introduced to avoid urethral tubularization, potentially minimizing complications and enhancing aesthetic results. This study presents a comprehensive 10-year follow-up of GRP outcomes. Aim of work: To study the long term effect of glanular rotation procedure (GRP) for glanular and coronal hypospadias. Patients and methods: Ninety-six consecutive patients with glanular or coronal hypospadias underwent GRP at Ain Shams University Hospitals from January 2013–December 2015. Ethical approval and informed consent were obtained. Primary endpoints included late complications (meatal stenosis, regression, dehiscence); secondary endpoints comprised detailed PPPS subdomain scores and objective uroflowmetry in a subset. Kaplan–Meier analysis evaluated complication-free survival. Subgroup analyses compared glanular versus coronal cases, and early (<5 years) versus late (>5 years) complication timing. Results: Follow-up completion in 89/96 patients (92.7%) yielded an overall complication rate of 5.2%. Detailed PPPS median scores were 4 (meatus), 4 (glans shape), 3.8 (skin), and 3.9 (overall). Uroflowmetry in 30 adolescents demonstrated mean Qmax 12.5±2.1 mL/s. Kaplan–Meier survival rates were 97.9%, 95.8%, and 93.7% at 1, 5, and 10 years, respectively, with no significant difference between glanular and coronal groups (p=0.13). Late complications (>5 years) accounted for 40% of events. Conclusion: GRP yields durable, reproducible outcomes with low morbidity and superior cosmetic metrics. Extended follow-up is essential to detect late complications, particularly in coronal repairs. | ||
| Keywords | ||
| Hypospadias; glanular rotation procedure; pediatric penile perception score; long-term outcomes; pediatric urology | ||
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