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

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.