Choice of urinary drainage after hypospadias repair: suprapubic catheter or urethral stent ?
Journal Title: PARIPEX-Indian Journal of Research - Year 2017, Vol 6, Issue 5
Abstract
Introduction: Hypospadias is a common congenital disorder requiring surgical correction. The approach to hypospadias repair has been ever changing over past several decades. Apart from surgical techniques, selection of appropriate method of urinary drainage also seems to be important for good results. AIM: To find out the better method of urinary drainage, in terms of post -operative bladder spasm, stent blockade and overall comfort of the patient. Material and Method: A prospective study was carried out on 40 subjects. The patients, who have undergone single stage hypospadias repair by the single surgeon, were included. Patients were divided in two groups of 20 each: Group A, with transurethral stent and group B, with suprapubic catheter for bladder drainage. Both the groups received similar post-operative management. The results were analyzed by chi square test to determine the significance. Results: The incidence of bladder spasm and accidental removal of stent was similar in both the groups (20% and 5 % respectively). 20 % of group A and 25 % of group B had excellent post operative comfort. In group A, one patient had stent slip and another had urinary retention and both required emergency suprapubic catheter insertion. Only one in group B had stent slip and no incidence of urinary retention; not requiring any intervention. Conclusion: his study was carried out in a smaller sample population and needs further evaluation. Though the overall results were comparable in both the arms; group B patients had an advantage over the other, should there be accidental stent removal.
Authors and Affiliations
Dr. HIRENDRA BIRUA, Dr. PRINCE RAJ, Dr. VIKASH K PRASAD
Keywords
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