Glanuloplasty Experiences in the Distal Hypospadias Surgery: A Prospective Comparative Study Focusing on the Patients and Parents

Aim: We aimed to investigate whether there was any difference between the postoperative complications of distal hypospadias patients undergoing MAGPI procedure whose urethral stents were left or removed and to determine pre and post-procedure anxiety levels of patients' parents regarding the current congenital penile disease of their children. Materials and Methods: Patients with urethral stents (group A) was hospitalized for one day. Patients without urethral stents (group B) were discharged on the same day. Patients were evaluated postoperatively regarding the characteristics of the patients and surgical complications. Health anxiety level affecting attitudes towards parents (group A1, B1 and C1) of children with hypospadias and circumcised were assessed with the Beck Anxiety Inventory (BAI) in the first admission and at the first postoperative month. Parents whose children underwent circumcision as a control group were compared with parents of the study groups. Results: Meatal regression and chordee were not observed in any patients, postoperatively.  Urethral fistula encountered occurred in 2 (0.83%) and 2 (0.71%) patients in group A and B, respectively. For meatal stenosis, the same ratios and numbers were also present in the groups. Reoperation was performed in 8 (1.53%) patients in both groups. Parents of study groups in the first admission and postoperatively had a high BAI score when compared with parents of the control group, which was statistically significant (p = 0.00).  Conclusions: Follow-up without a postoperative urethral catheter in cases of distal hypospadias corrected by MAGPI modifications seems to be more appropriate. Complications may diminish over time with different MAGPI modifications. Hypospadias, a congenital anomaly, has significant psychosocial effects on both the patient and the parent. These effects may be reduced for parents by psychosocial support and training which begins immediately after the birth of their babies.