Although these time tested staged procedures
are associated with multiple hospital admissions and exposure to anaesthesia affecting daily wage earners of the families, social ostracization in our setup and the potential for complications associated with a colostomy we could not do away with it and as has been the practice in other developing countries as well.
Therefore it can be opted for patients of anterior hypospadias with chordee as a single staged procedure
when combined with urethroplasty.
They found two staged procedure
superior in terms of patencies with equivocal complication rates.
The aim of this study was to evaluate the common complications related to colostomy done as staged procedure
in neonates with ARM.
All patients were screened by percutaneous nerve evaluation (PNE) for 4 days, or a staged procedure
for 2 weeks.
After Lugol's solution was applied to the anal area, high-resolution anoscopy was used to identify tissue with HSIL for incisional biopsy followed by electrocautery ablation; patients with circumferential disease had a staged procedure
to preserve perianal skin.