Portal de Periódicos da CAPES

Distal Hypospadias Repair Without Stents: Is It Better?

1994; Lippincott Williams & Wilkins; Volume: 151; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)35180-7

1527-3792

Hélio Buson, Daniel Smiley, Yuri Reinberg, Ricardo González,

Congenital Anomalies and Fetal Surgery

No AccessJournal of Urology1 Apr 1994Distal Hypospadias Repair Without Stents: Is It Better? Hélio Buson, Daniel Smiley, Yuri Reinberg, and Ricardo Gonzalez Hélio BusonHélio Buson , Daniel SmileyDaniel Smiley , Yuri ReinbergYuri Reinberg , and Ricardo GonzalezRicardo Gonzalez View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35180-7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We previously reported the results of the meatal based flap urethroplasty (Mathieu) for distal hypospadias repair. Of 49 patients in whom stents were left indwelling for 2 to 5 days meatal stenosis developed in 1 and there were no fistulas. In view of these good results and to decrease postoperative discomfort from bladder spasms, we performed 37 consecutive meatal based flap repairs without stents. Seven patients (19%) had urinary retention requiring catheterization several hours after surgery, of whom 3 had had a caudal block and 4 a penile block with 0.25% bupivacaine for postoperative pain control. In 5 patients (14%) a urethrocutaneous fistula developed, which required surgical repair. Of the patients with a fistula 2 were also among those who presented with urinary retention and 1 had concomitant meatal stenosis. One child had meatal stenosis only, requiring a meatoplasty after failed dilations. Subsequently, of another 16 children who underwent the Mathieu repair with stents a urethrocutaneous fistula and meatal stenosis developed in 1 (6.2%) and 15 patients had no complications. Overall of 65 patients in whom a stent was used 3 (4.6%) had complications, in contrast with a complication rate of 18.9% in the unstented group, representing a statistically significant difference (p <0.05). The stent obviates urinary retention, which was unrelated to the type of anesthetic block used, and minimizes the incidence of fistula and stenosis. We conclude that the use of a multiper-forated silicone urethral stent is advantageous for the outcome of this operation. © 1994 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byMEIR D and LIVNE P (2018) IS PROPHYLACTIC ANTIMICROBIAL TREATMENT NECESSARY AFTER HYPOSPADIAS REPAIR?Journal of Urology, VOL. 171, NO. 6 Part 2, (2621-2622), Online publication date: 1-Jun-2004. (2018) EDITORIAL COMMENTJournal of Urology, VOL. 169, NO. 1, (333-333), Online publication date: 1-Jan-2003.MINEVICH E, PECHA B, WACKSMAN J and SHELDON C (2018) MATHIEU HYPOSPADIAS REPAIR: EXPERIENCE IN 202 PATIENTSJournal of Urology, VOL. 162, NO. 6, (2141-2143), Online publication date: 1-Dec-1999.Bukowski T and Williams C (2018) Percutaneous Intravesical Retrieval of a Misplaced Urethral Stent: New Laparoscopic InstrumentationJournal of Urology, VOL. 157, NO. 6, (2257-2257), Online publication date: 1-Jun-1997.Hakim S, Merguerian P, Rabinowitz R, Shortliffe L and McKenna P (2018) Outcome Analysis of the Modified Mathieu Hypospadias Repair: Comparison of Stented and Unstented RepairsJournal of Urology, VOL. 156, NO. 2S, (836-838), Online publication date: 1-Aug-1996. Volume 151Issue 4April 1994Page: 1059-1060 Advertisement Copyright & Permissions© 1994 by The American Urological Association Education and Research, Inc.KeywordsstentshypospadiasurethraMetricsAuthor Information Hélio Buson More articles by this author Daniel Smiley More articles by this author Yuri Reinberg More articles by this author Ricardo Gonzalez More articles by this author Expand All Advertisement PDF downloadLoading ...