Book

Salvage Urethroplasty for Failed Hypospadias Repair

"Salvage Urethroplasty for Failed Hypospadias Repair" by Ahsan Shahid is a detailed exploration of a critical issue in hypospadias surgery – urethrocutaneous fistula. This complication, when present, undermines the success of the primary surgery, presenting a complex problem due to the compromised tissue quality in the area. Shahid's work focuses on identifying an optimal approach to salvage urethroplasty for cases of failed hypospadias repair, particularly those involving persistent large fistulae (>4mm) or multiple small fistulae (<4mm). The study, conducted at the Department of Paediatric Surgery, Rajshahi Medical College Hospital, Bangladesh, spanned five years (from July 2011 to June 2016) and involved a randomized comparison of different techniques for salvage urethroplasty. A total of 189 patients meeting the inclusion and exclusion criteria were enrolled and randomized into three groups, each receiving a different approach to treatment. The book presents a comprehensive analysis of the study's methodology, including the criteria for patient selection, randomization process, and the specific procedures used in each group. It also provides detailed descriptions of the surgical techniques employed, along with illustrations and outcomes for each group. Additionally, Shahid discusses the challenges encountered during the study and offers insights into the factors influencing the success of salvage urethroplasty in these cases. Shahid's writing is clear and concise, making the complex subject matter accessible to readers with varying levels of expertise in the field. The book is well-organized, with each chapter focusing on a specific aspect of the study, including background information, methodology, results, and discussion. This structure helps readers navigate the content and understand the implications of the study's findings.