الفهرس | Only 14 pages are availabe for public view |
Abstract Hypospadias is a common anomaly of the external genitalia in newborns, occurring in about 1 out of every 250 to 300 live births. It presents a spectrum of severity ranging from minor glanular hypospadias to sever perineoscrotal one. There is no one good method for all hypospadias repair. A technique must be adapted for each individual patient. There are more complications that may occur with hypospadias repair such as bleeding, catheter block due to encrustations, urethrocutaneous fistula and meatal stenosis. In this study we compare types of urinary diversion after hypospadias repair either by suprapubic catheter and urethal stent or urethral catheter only in using a tubularized incised plate (TIP) and compare their effect on the rate of the complications as we aim to improve the results of hypospadias repair and decrease complications. In our study we divided the patients into two groups: group (A): it included 11 patients underwent TIP repair with suprapubic catheter and urethral stent without reaching the bladder. group (B): it included 19 patients underwent TIP repair with urethral catheter only. Our results were as follow: group (A): the success rate was 72.7%. group (B): the success rate was 78.9%. And as we noticed from the results there was no significant difference between two groups. So we recommended use of urethral catheter only as urinary diversion without suprapubic catheter as the complications rate was almost the same with no significant difference. So we prefer avoid the use of suprapubic catheter to avoid its invasive maneuver and its postoperative limitation of movement. |