TY - JOUR
T1 - Foreskin healing after distal hypospadias repair: Does stenting affect the outcome?
AU - Honkisz, Ireneusz
AU - Sulisławski, Janusz
AU - Dobrowolska-Glazar, Barbara
AU - Kuijper, Caroline F.
AU - Chrzan, Rafał
N1 - Publisher Copyright: © 2020 by Wroclaw Medical University. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021
Y1 - 2021
N2 - Background. Distal penile hypospadias account for about 70% of all cases of hypospadias. There is a variety of operative techniques that could be performed when foreskin reconstruction is an option. The urethral stent is left in the urethra to prevent complications. Objectives. To determine whether the duration of stenting influences the healing of foreskin after distal hypospadias repair. Material and methods. Data from 2 institutions was retrospectively analyzed. Inclusion criteria were as follows: 1) a modified meatal advancement glanuloplasty without tubularization of the urethral plate, 2) foreskin reconstruction and 3) follow-up - 12 months. All other types of reconstruction and re-do procedures were excluded. The period of urethral stenting was determined intraoperatively depending on the surgeon's preferences. Mean age at operation was 23.3 months. The cohort was divided into 3 groups. In Group I (G-I), no catheter was left or it was removed the next day after surgery. In Group II, the catheter was left for more than 5 days. In those 2 groups, the surgery was done by different surgeons. Group III consisted of 35 patients who had a stent for <2 days, and the procedure was performed by the same surgeon. The χ2 with Yates's correction and Pearson's χ2 tests were used for the statistical analysis. Results. Overall, 11 patients had foreskin dehiscence and needed re-do surgery. None of the patients required operation because of foreskin stenosis. Complications occurred in 3 out of 33 patients (9%) in Group I, 2 out of 27 in Group II (7.4%) and 6 out of 35 in Group III (17%). There was no statistically significant difference between Groups I and II (p = 0.8144), nor between Groups I and III (p = 0.5344). In the non-parametric Pearson's χ2 test, no significant difference was found in such grouped data (p = 0.4239). Conclusions. Prolonged urethral stenting does not reduce the risk of a re-do foreskin surgery after hypospadias repair.
AB - Background. Distal penile hypospadias account for about 70% of all cases of hypospadias. There is a variety of operative techniques that could be performed when foreskin reconstruction is an option. The urethral stent is left in the urethra to prevent complications. Objectives. To determine whether the duration of stenting influences the healing of foreskin after distal hypospadias repair. Material and methods. Data from 2 institutions was retrospectively analyzed. Inclusion criteria were as follows: 1) a modified meatal advancement glanuloplasty without tubularization of the urethral plate, 2) foreskin reconstruction and 3) follow-up - 12 months. All other types of reconstruction and re-do procedures were excluded. The period of urethral stenting was determined intraoperatively depending on the surgeon's preferences. Mean age at operation was 23.3 months. The cohort was divided into 3 groups. In Group I (G-I), no catheter was left or it was removed the next day after surgery. In Group II, the catheter was left for more than 5 days. In those 2 groups, the surgery was done by different surgeons. Group III consisted of 35 patients who had a stent for <2 days, and the procedure was performed by the same surgeon. The χ2 with Yates's correction and Pearson's χ2 tests were used for the statistical analysis. Results. Overall, 11 patients had foreskin dehiscence and needed re-do surgery. None of the patients required operation because of foreskin stenosis. Complications occurred in 3 out of 33 patients (9%) in Group I, 2 out of 27 in Group II (7.4%) and 6 out of 35 in Group III (17%). There was no statistically significant difference between Groups I and II (p = 0.8144), nor between Groups I and III (p = 0.5344). In the non-parametric Pearson's χ2 test, no significant difference was found in such grouped data (p = 0.4239). Conclusions. Prolonged urethral stenting does not reduce the risk of a re-do foreskin surgery after hypospadias repair.
KW - Complication
KW - Foreskin
KW - Hypospadias
KW - Preputioplasty
KW - Stenting
UR - http://www.scopus.com/inward/record.url?scp=85099269330&partnerID=8YFLogxK
U2 - https://doi.org/10.17219/acem/127677
DO - https://doi.org/10.17219/acem/127677
M3 - Article
C2 - 33389839
SN - 1899-5276
VL - 29
SP - 1487
EP - 1490
JO - Advances in clinical and experimental medicine
JF - Advances in clinical and experimental medicine
IS - 12
ER -