Comparing Hybrid and Modified Duckett Urethroplasty Procedures for Treating Proximal Hypospadias in Infants and Children

What this Trial Is About

Proximal hypospadias is a serious condition affecting infants and their caregivers, involving an abnormality of the urethra. Researchers are comparing two surgical methods to repair this condition the hybrid Duckett urethroplasty, a staged procedure, and the modified Duckett urethroplasty, which is completed in a single surgery. This randomized clinical trial aims to evaluate which technique better restores urethral continuity and improves cosmetic appearance. Infants and children diagnosed with proximal hypospadias will be randomly assigned to one of two groups. Group A will undergo the hybrid Duckett procedure, involving initial placement of a double-face Duckett tube on the ventral penis, with the final connection to the urethra scheduled six months later. Group B will receive the modified Duckett procedure, where the tube is placed and connected to the proximal urethral opening in a single operation. Participants will be followed for at least six months after surgery to assess the success of the repair, focusing on absence of fistula and restoration of urethral continuity as the main outcome. Researchers will also evaluate the cosmetic appearance after surgery. The study includes assessments during the operative period and follow-up visits to monitor healing and surgical results. The total participation period varies depending on individual treatment schedules and recovery.

Hybrid Duckett vs Modified Duckett Urethroplasty for Proximal Hypospadias