الفهرس | Only 14 pages are availabe for public view |
Abstract The clinical features of hypospadias are abnormal ventral opening of the urethral meatus that may be located anywhere from the venrtal aspect of glans penis to the perineum, abnormal venral curvature of the penis (chordee) and abnormal distrbution of foreskin a ’’hood’’ presented dorsally and defecient foreskin ventrally. The main goals in hypospadias repair are penile straightening (orthoplasty), urethroplasty, meatoplasty, glanduloplasty and skin coverage. Most surgeons perform stented repairs, although distal hypospadias repairs can be done without the use of stents. The duration of urethral stenting after tubularized incised plate (TIP) urethroplasty for hypospadias varies among surgeons. The aim of this work is to compare between two days versus seven days urethral stenting after tubular incised plate urethroplasty of Snodgrass and the effect of this regarding the incidence of postoperative complications such as urethrocutaneous fistula, meatal stenosis, urine retention, urethral stricture, urinary tract infection and complete wound dehiscence requiring redo. This study included 40 patients with distal hypospadias operated with tubularized inscised plate urethroplasy which was conducted at Menofia university hospital and Mataria teaching hospital and in twelve months period starting from august 2018. Patients was selected by random serial number method and divided into two equal groups each one contains 20 patients. group A: catheter removed after two days. Group2: catheter removed after seven days summary The age of the patients ranged from 1-6 years with a mean value 2.7±0.98 years in group A and 2.8±0.97 years in group B. The age was insignificantly different between both groups (P = 0.51). As regard to post-operative complications, Urethrocutaneous fistula occurred in 5 (25%) in group A and in 6 (30%) in group B, meatal stenosis occurred in 2 (10%) in group A and in 2 (10%) in group B , wound dehiscence requiring redo occurred in 2 (10%) in group A and in 2 (10%) in group B, urinary tract infection occurred in 0 (0%) in group A and in one patient (5%) in group B , urine retention occurred in one patient (5%) in group A and in 0 (0%) in group B and bleeding after stent removal occurred in 2 (10%) in group A and in 0 (0%) in group B .The comparison between both groups showed an insignificant difference between both groups (P = 0.97). As regard to cosmetic results between the two groups was non-significant with P value (77). |