Distal hypospadias repair in infants without a postoperative stent.
Pediatric surgery international
Follow-Up Studies, Humans, Hypospadias, Infant, Male, Postoperative Complications, Prospective Studies, Reoperation, Stents, Urethra
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: ChildrenDemographics, 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.
Chalmers, David J; Siparsky, Georgette L; Wiedel, Cole A; and Wilcox, Duncan T, "Distal hypospadias repair in infants without a postoperative stent." (2015). Maine Medical Center. 87.