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Eur J Pediatr Surg 2010; 20(1): 48-50
DOI: 10.1055/s-0029-1202256
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© Georg Thieme Verlag KG Stuttgart · New York

Implantation Dermoid and Balanitis Xerotica Obliterans: Rare Complications after Hypospadias Repair: Case Gallery and Review of Relevant Literature

M. Ragavan 1 , R. Kumar 1 , S. Vissa 2
  • 1Department of Pediatric Surgery, Narayana Super-speciality Hospital, Nellore, India
  • 2Department of Pathology, Narayana Super-speciality Hospital, Nellore, India
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Publikationsdatum:
09. April 2009 (online)

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Introduction

Hypospadias repair is one of the commonest surgeries performed by pediatric surgeons. There are various types of hypospadias repair, and all are associated with specific complications. The complications reported include poor cosmetic appearance, urethral fistulas, urethral strictures, urethroceles, and meatal stenosis, urethral prolapse, sticking meatus, meatal retraction and urethral stones [17]. Multiple factors are responsible for these complications. Rarely, balanitis xerotica obliterans (BXO) complicating hypospadias repair has also been reported [11] [20]. Extensive electronic search of the pediatric surgery literature did not reveal any case report of an implantation dermoid after hypospadias repair. However, it has been reported after other genital surgeries such as circumcision [6] and after female genital mutilation in African countries [16]. We report a case of implantation dermoid occurring after transverse prepucial onlay island flap urethroplasty for penoscrotal hypospadias. Interestingly, the child had also developed BXO over the neo-urethra and glans penis after surgery. This adds to the vast number of complications reported in hypospadiology.

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Correspondence

Dr. M. Ragavan

Department of Pediatric Surgery

Narayana Super-speciality Hospital

Chintareddi palem

524002 Nellore

India

Telefon: +91/949/049 28 68

Fax: +91/861/231 79 63

eMail: dr_ragavan_2001@rediffmail.com