SavedAdd your journal

Journals / Turkish Journal of Urology / 2019 / Cilt: 45 - Sayı: 1

Fixation of the glans penis and urethral catheter to the abdominal skin to avoid wound dehiscence after a hypospadias surgery: A comparative study

Ali ATAN
Aykut AYKAÇ
Özer BARAN
Melih SUNAY
Pages
104–107
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Patients in Group B had no excessive analgesic usage and unpleasant scarring due to the glans suture.Conclusion: Glanular and urethral catheter fixation to the lower abdominal skin considerably reducedwound dehiscence after hypospadias repair.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To evaluate the effect of glanular and urethral catheter fixation to the abdominal skin on wounddehiscence.Material and methods: After a standard tubularized incised plate urethroplasty (TIPU) for hypospadiasrepair, 128 patients were divided into two groups based on glanular and urethral catheter fixation to theabdominal skin as follows: no glanular and urethral catheter fixation (Group A) and glanular and urethralcatheter fixation (Group B).
📊
Key Findings & Data:Groups A and B included 61 and 67 patients, respectively.Results: No significant difference was determined between the groups with respect to age, meatal localization, and length of hospital stay.
💡
Conclusion & Impact:Patients in Group B had no excessive analgesic usage and unpleasant scarring due to the glans suture.Conclusion: Glanular and urethral catheter fixation to the lower abdominal skin considerably reducedwound dehiscence after hypospadias repair.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: To evaluate the effect of glanular and urethral catheter fixation to the abdominal skin on wounddehiscence.Material and methods: After a standard tubularized incised plate urethroplasty (TIPU) for hypospadiasrepair, 128 patients were divided into two groups based on glanular and urethral catheter fixation to theabdominal skin as follows: no glanular and urethral catheter fixation (Group A) and glanular and urethralcatheter fixation (Group B). Groups A and B included 61 and 67 patients, respectively.Results: No significant difference was determined between the groups with respect to age, meatal localization, and length of hospital stay. Wound dehiscence was noted in 13.1% and 2.9% patients in Groups A andB, respectively, after surgery (p=0.029, odds ratio=4.9). Patients in Group B had no excessive analgesic usage and unpleasant scarring due to the glans suture.Conclusion: Glanular and urethral catheter fixation to the lower abdominal skin considerably reducedwound dehiscence after hypospadias repair.

🔖

Cite This Article

ATAN, A., AYKAÇ, A., BARAN, Ö., SUNAY, M. (2019). Fixation of the glans penis and urethral catheter to the abdominal skin to avoid wound dehiscence after a hypospadias surgery: A comparative study. Turkish Journal of Urology, Cilt: 45 - Sayı: 1, 104–107. https://ajindex.com/articles/379807

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Springer A, van den Heijkant M, Baumann S. Worldwide prevalence of hypospadias. J Pediatr Urol 2016
  2. [CrossRef] 2. van der Horst HJ, de Wall LL. Hypospadias, all there is to know. Eur J Pediatr 2017
  3. [CrossRef] 3. Riccabona M, Oswald J, Koen M, Beckers G, Schrey A, Lusuardi L. Comprehensive analysis of six years experience in tubularised incised plate urethroplasty and its extended application in primary and secondary hypospadias repair. Eur Urol 2003
  4. [CrossRef] 4. Snodgrass W, Ziada A, Yucel S, Gupta A. Comparison of outcomes of tubularized incised plate hypospadias repair and circumcision: a questionnaire-based survey of parents and surgeon. J Pediatr Urol 2008
  5. [CrossRef] 5. Atan A, Aslan Y, Tuncel A, Yıldız M, Balcı M, Bilgin Ö. Our results of tubularized incised plate urethroplasty in cases with primer and recurrent hipospadias Turk J Urol 2011
  6. Snodgrass W, Bush N. Primary hypospadias repair techniques: A review of the evidence. Urol Ann 2016
  7. [CrossRef] 7. Gupta A, Gupta R, Srivastav P, Gupta A. Comparison of interrupted- and continuous-suture urethroplasty in tubularised incised-plate hypospadias repair: A prospective study. Arab J Urol 2017
  8. [CrossRef] 8. Uygur MC, Erol D, Germiyanoglu C. Lessons from 197 Mathieu hypospadias repairs performed at a single institution. Pediatr Surg Int 1998
  9. [CrossRef] 9. Snodgrass W, Macedo A, Hoebeke P, Mouriquand PD. Hypospadias dilemmas: a round table. J Pediatr Urol 2011
  10. [CrossRef] 10. Catti M, Demede D, Valmalle AF, Mure PY, Hameury F, Mouriquand P. Management of severe hypospadias. Indian J Urol 2008
  11. [CrossRef] 11. Snodgrass W, Cost N, Nakonezny PA, Bush N. Analysis of risk factors for glans dehiscence after tubularized incised plate hypospadias repair. J Urol 2011
  12. [CrossRef] 12. Nguyen MT, Snodgrass WT. Tubularized Incised Plate Hypospadias Reoperation. J Urol 2004
  13. [CrossRef] 13. Leslie B, Lorenzo AJ, Figueroa V, Moore K, Farhat WA, Bagli DJ, et al. Critical outcome analysis of staged buccal mucosa graft urethroplasty for prior failed hypospadias repair in children. J Urol 2011
  14. [CrossRef] 14. Abouzeid AA. Modified Byars' flaps for securing skin closure in proximal and mid-penile hypospadias. Ther Adv Urol 2011
  15. [CrossRef] 15. Abdel-Hamid Mohamid El-Hawy M. Minimal modifications could decrease fistula rate during tubularized incised plate procedure in distal hypospa