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Pediatr Surg Int. 2015 Mar;31(3):287-90. doi: 10.1007/s00383-014-3647-y. Epub 2014 Dec 5.

Distal hypospadias repair in infants without a postoperative stent.

Author information

1
Maine Medical Center, Portland, ME, USA, dchalmers55@gmail.com.

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.

PMID:
25475503
DOI:
10.1007/s00383-014-3647-y
[Indexed for MEDLINE]

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