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Introduction: Hypospadias is a common congenital anomaly of the urogenital system, with an incidence of 1:300, in males. Hypospadias is defined as an anomaly involving the ventral aspect of the penis. Urethro-cutaneous (UC) fistula complicating hypospadias repair appears the most common problem. The incidence of Urethro-cutaneous fistula varies from 4% to 28%. Objective: To determine the frequency of urethrocutaneous fistula in post Aivar Bracka repair meatal stenosis. Materials and Methods: This study was conducted at Department of Plastic and reconstructive Surgery unit, Hayatabad Medical Complex Peshawar, from march 2014 to march 2016. Study design was descriptive cross-sectional study and the duration of the study was 2 years in which 82 patients were observed by using WHO formula for sample size, expected prevalence of 22% of fistula, 95% confidence Interval and margin of error of 9%. Non-probability consecutive sampling technique was used for sample collection. Results: In our sample, 72% patients were in age range 3-6 years, 28% patients were in age range 7-10 years. Mean age was 3 years with SD±1.31. Overall 20% patients had urethrocutaneous fistula. Stratification of urethro-cutaneous fistula with age distribution was analyzed, showing that 12 patients with urethro-cutaneous fistula were in age range 3-6 years and 4 patients were in age range 7-10 years. The difference in fistula frequency between the two age groups was statistically significant (p < 0.01). Conclusion: Our study concludes that 20% of patients with meatal stenosis develop urethrocutaneous fistula After aivar bracka repair, and the frequency is higher in the younger age group. [ABSTRACT FROM AUTHOR]

Background: Hypospadias is one of the most common congenital anomalies occurring in males. It is a condition in which the urethral opening, called urinary meatus, does not form completely to the tip of the penis. Instead, this opening may be located anywhere along the penis. Incidence rates of hypospadias differ greatly by urologic centres. Studies reported 0.4% (1/250) to 0.8% (1/125) incidence rates in all newborn male infants. This study will help us finding the complications, mainly meatal stenosis, after repairing distal hypospadias as well as the surgical procedures preferred by our Pakistani surgeons for it. Objectives: To determine the frequency of meatal stenosis after two stage Bracka's technique procedure repair for distal penile hypospadias. Study Design: Descriptive study. Setting: Department of Plastic Surgery, Hayatabad Medical Complex, Peshawar. Period: 1st June 2014 to 31st May 2015. Methodology: All male patients ranging from 1-20 years old, patients with distal penile hypospadias without chordae since birth were included. Along with meatal stenosis after Bracka repair procedure for distal penile hypospadias was recorded on a predesigned proforma. Results: In this study 53.4% patients were in age range 1-5 years, 34.7% patients were in age range 6-10 years, 10.2% patients were in age range 10-15 years. Mean age was 6.17 years with SD ±3.34. In which 11.4% patients had meatal stenosis while 88.6% patients didn't had meatal stenosis. Conclusion: Our study concludes that the frequency of meatal stenosis in our setup was 11.4% after two staged Bracka repair for distal penile hypospadias. [ABSTRACT FROM AUTHOR]