A Single Center Study of Short and Long Term Complications in Hypospadias Surgery at BRD Medical College, Gorakhpur (UP)

Abstract Hypospadias is caused by abnormal penile development that leaves the urethral meatus proximal to its normal glandular placement, which can occur anywhere along the scrotum, perineum, or penile shaft. It is frequently linked to a number of short- and long-term consequences. The objective of the present study was to carry out a thorough analysis of hypospadias surgery, assessing both short- and long-term consequences and showing various surgical methods and their associated results. The present study was an ambispective research conducted at the Department of General Surgery at BRD Medical College Gorakhpur, UP, from March 2023 and March 2025 (n=84). Postoperative complications affected 27.4% of patients in the present study, with the most common early complication being urethrocutaneous fistula (14.3%) and the most common late complications was a thin urinary stream (63.6%). Compared to proximal hypospadias, distal hypospadias produced good results. TIP repair was the most popular and commonly successful procedure. To increase success, customized surgical methods and ongoing observation are essential. Standardized post-operative protocols, multicentric trials with larger cohorts, and the use of advanced diagnostic methods such as routine uroflowmetry should be a primary focus for future research.