الفهرس 
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Abstract
Hypospadias is the most common birth defect among children affecting the
penis characterized by ventral position of urethral meatus in which caused by arrest of
normal development of the urethra. The aim of the current study was to evaluate the
effect of preoperative instructions for mothers on selected postoperative outcomes
among their children with hypospadias. Quasi -experimental design (Pre-Posttest) was
used to achieve the aim of the current study. A total sample of 60 mothers having
male children undergoing surgical repair of hypospadias participated in the current
study, divided into two equal groups: 30 as a control group and 30 as a study group
who were subject to the preoperative instructions. The current study conducted at inpatient
pediatric surgical department at Cairo University Children Hospital (Al
Monira). Tools for data collection were 1-Structured interview (questionnaire); 2-
Mother’s knowledge and reported practice assessment sheet (pre-posttest) and 3-
Postoperative outcomes assessment record. The results revealed that, children in the
study group exposed to less early postoperative complications such as (bleeding,
wound dehiscence, urinary obstruction and urinary catheter fall) than children in the
control group. Late postoperative complications (fistula, meatal stenosis, urethral
obstruction and infection) occurred in children in the study group less than those in
the control group. Children in the study group had appropriate cosmetic appearance of
the penis and functional outcome than children in the control group. The current study
concluded that children whom mothers received the preoperative instructions about
hypospadias had improved outcomes in relation to less complications, higher
cosmetic and functional outcomes than children in the control group. It was
recommended that provision of pre and post-operative care of children undergoing
hypospadias repair is mandatory to achieve satisfactory postoperative outcomes.