Feasibility of repair of distal penile hypospadias as a day-case surgery
Annals of Pediatric Surgery, cilt.7, sa.3, ss.111-113, 2011 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 3
- Basım Tarihi: 2011
- Doi Numarası: 10.1097/01.xps.0000399336.04902.b1
- Dergi Adı: Annals of Pediatric Surgery
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.111-113
- Anahtar Kelimeler: hospital stay, hypospadias, outpatient, urethroplasty, wound dressing
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective The aim of this study was to present the outcomes of children with distal hypospadias who were operated on outpatient basis. Methods Atotal of 47 consecutive children underwent surgical repair of distal hypospadias in our department. Urethroplasties were performed by the following techniques: stentless meatal advancement-glanuloplasty (MAGPI) or glans approximation procedure (GAP) for glanular hypospadias (14) and tubularized incised plate (TIP) urethroplasty for coronal, subcoronal and midpenil hypospadias with an indwelling urethral catheter or short stent (33). The indwelling urinary catheters were managed by the double diaper technique. Patients were discharged within 6 h after operation. Dressings and catheters were removed on the postoperative day 2 and 6, respectively. Results Voiding difficulty and urinary retention on early postoperative period were observed in 8 patients. Except meatal stenosis in 4 cases and meatal retractions in 2 cases, there were no major complications in any of our patients during the follow-up period, no postoperative fistula or urethral stricture. Conclusion In children, repair of distal penile hypospadias on outpatient basis is feasible. Catheters, urethral stents, drug therapy and dressing are not justifications for hospitalization in such cases. © 2011 Annals of Pediatric Surgery.