Distal hypospadias repair in infants without a postoperative stent.

Abstract

PURPOSE:

To review our experience with infants undergoing distal hypospadias repair without a postoperative stent to determine if an unacceptable complication rate might justify its use.

METHODS:

Children <1 year of age who underwent distal hypospadias repair by a single surgeon were identified through a prospectively maintained database. The use of a postoperative urethral stent was recorded for each case. Demographics, meatus position, operative technique and complications were also recorded. Patients older than 1 year or with hypospadias proximal to a subcoronal position were excluded.

RESULTS:

Eighty-nine patients without a stent were identified in addition to 21 patients who had a stent for a minimum of 3 days. At 3 months follow-up, 4/89 (4.49 %) patients in the stentless group required circumcision revision. 1 patient experienced urinary retention. 1/21 (4.76 %) patients with a postoperative stent required reoperation for meatal stenosis.

CONCLUSIONS:

The complication rate for infants undergoing distal hypospadias repair is low, does not appear to be significantly increased by forgoing a postoperative urethral stent. Avoiding a stent likely reduces a variety of associated adverse events and needs for short-term follow-up.

• Authors: David J Chalmers, Georgette L Siparsky, Cole A Wiedel, Duncan T Wilcox
• Journal: Pediatric surgery international (Pediatr Surg Int) Vol. 31 Issue 3 Pg. 287-90 (Mar 2015) ISSN: 1437-9813 [Electronic] Germany
• PMID: 25475503 (Publication Type: Journal Article)

Topics

• Follow-Up Studies
• Humans
• Hypospadias (surgery)
• Infant
• Male
• Postoperative Complications (epidemiology)
• Prospective Studies
• Reoperation (statistics & numerical data)
• Stents
• Urethra (surgery)