Overnight urethral stenting after tubularized urethroplasty for distal hypospadias

Chad Ritch, Alana M. Murphy, Solomon L. Woldu, Elizabeth A. Reiley, Terry W. Hensle

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objectives The duration of urethral stenting after tubularized incised plate (TIP) urethroplasty for hypospadias varies among surgeons. Typically the catheter is left for up to 7 days with the goal of minimizing post-operative complications. We describe our experience with overnight stenting for distal TIP hypospadias repair. Materials and methods A retrospective chart review was performed on patients who underwent TIP hypospadias repair from 2003 to 2008. Patients who had their urethral catheter overnight were included in this analysis. Outcomes analyzed were the rates of: urethrocutaneous fistula, meatal stenosis, urethral stricture and urinary tract infections. Results A total of 64 patients underwent outpatient TIP hypospadias repair. Forty-nine patients had overnight urethral stenting with at least 12 months follow-up and were included in the analysis. Five of the 49 patients (10.2%) developed urethrocutaneous fistula. Of these five patients, two had undergone re-do hypospadias repair. The fistula rate in primary repairs was 3/45 (6.7%). There were no incidences of meatal stenosis, urinary tract infections or urethral strictures. Conclusion In our experience, overnight urethral stenting for TIP hypospadias repair does not significantly affect the rates of urethrocutaneous fistula, meatal stenosis and urinary tract infections. Patients who have had a primary TIP hypospadias repair may have their urethral catheter removed safely on post-operative day one.

Original languageEnglish (US)
Pages (from-to)639-642
Number of pages4
JournalPediatric Surgery International
Volume26
Issue number6
DOIs
StatePublished - Jun 2010
Externally publishedYes

Fingerprint

Hypospadias
Fistula
Urinary Tract Infections
Urethral Stricture
Urinary Catheters
Pathologic Constriction
Outpatients
Catheters
Incidence

Keywords

  • Hypospadias
  • Urethral stent
  • Urethroplasty

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Overnight urethral stenting after tubularized urethroplasty for distal hypospadias. / Ritch, Chad; Murphy, Alana M.; Woldu, Solomon L.; Reiley, Elizabeth A.; Hensle, Terry W.

In: Pediatric Surgery International, Vol. 26, No. 6, 06.2010, p. 639-642.

Research output: Contribution to journalArticle

Ritch, Chad ; Murphy, Alana M. ; Woldu, Solomon L. ; Reiley, Elizabeth A. ; Hensle, Terry W. / Overnight urethral stenting after tubularized urethroplasty for distal hypospadias. In: Pediatric Surgery International. 2010 ; Vol. 26, No. 6. pp. 639-642.
@article{5430414062cf45e7911718045b6016e3,
title = "Overnight urethral stenting after tubularized urethroplasty for distal hypospadias",
abstract = "Objectives The duration of urethral stenting after tubularized incised plate (TIP) urethroplasty for hypospadias varies among surgeons. Typically the catheter is left for up to 7 days with the goal of minimizing post-operative complications. We describe our experience with overnight stenting for distal TIP hypospadias repair. Materials and methods A retrospective chart review was performed on patients who underwent TIP hypospadias repair from 2003 to 2008. Patients who had their urethral catheter overnight were included in this analysis. Outcomes analyzed were the rates of: urethrocutaneous fistula, meatal stenosis, urethral stricture and urinary tract infections. Results A total of 64 patients underwent outpatient TIP hypospadias repair. Forty-nine patients had overnight urethral stenting with at least 12 months follow-up and were included in the analysis. Five of the 49 patients (10.2{\%}) developed urethrocutaneous fistula. Of these five patients, two had undergone re-do hypospadias repair. The fistula rate in primary repairs was 3/45 (6.7{\%}). There were no incidences of meatal stenosis, urinary tract infections or urethral strictures. Conclusion In our experience, overnight urethral stenting for TIP hypospadias repair does not significantly affect the rates of urethrocutaneous fistula, meatal stenosis and urinary tract infections. Patients who have had a primary TIP hypospadias repair may have their urethral catheter removed safely on post-operative day one.",
keywords = "Hypospadias, Urethral stent, Urethroplasty",
author = "Chad Ritch and Murphy, {Alana M.} and Woldu, {Solomon L.} and Reiley, {Elizabeth A.} and Hensle, {Terry W.}",
year = "2010",
month = "6",
doi = "10.1007/s00383-010-2605-6",
language = "English (US)",
volume = "26",
pages = "639--642",
journal = "Pediatric Surgery International",
issn = "0179-0358",
publisher = "Springer Verlag",
number = "6",

}

TY - JOUR

T1 - Overnight urethral stenting after tubularized urethroplasty for distal hypospadias

AU - Ritch, Chad

AU - Murphy, Alana M.

AU - Woldu, Solomon L.

AU - Reiley, Elizabeth A.

AU - Hensle, Terry W.

PY - 2010/6

Y1 - 2010/6

N2 - Objectives The duration of urethral stenting after tubularized incised plate (TIP) urethroplasty for hypospadias varies among surgeons. Typically the catheter is left for up to 7 days with the goal of minimizing post-operative complications. We describe our experience with overnight stenting for distal TIP hypospadias repair. Materials and methods A retrospective chart review was performed on patients who underwent TIP hypospadias repair from 2003 to 2008. Patients who had their urethral catheter overnight were included in this analysis. Outcomes analyzed were the rates of: urethrocutaneous fistula, meatal stenosis, urethral stricture and urinary tract infections. Results A total of 64 patients underwent outpatient TIP hypospadias repair. Forty-nine patients had overnight urethral stenting with at least 12 months follow-up and were included in the analysis. Five of the 49 patients (10.2%) developed urethrocutaneous fistula. Of these five patients, two had undergone re-do hypospadias repair. The fistula rate in primary repairs was 3/45 (6.7%). There were no incidences of meatal stenosis, urinary tract infections or urethral strictures. Conclusion In our experience, overnight urethral stenting for TIP hypospadias repair does not significantly affect the rates of urethrocutaneous fistula, meatal stenosis and urinary tract infections. Patients who have had a primary TIP hypospadias repair may have their urethral catheter removed safely on post-operative day one.

AB - Objectives The duration of urethral stenting after tubularized incised plate (TIP) urethroplasty for hypospadias varies among surgeons. Typically the catheter is left for up to 7 days with the goal of minimizing post-operative complications. We describe our experience with overnight stenting for distal TIP hypospadias repair. Materials and methods A retrospective chart review was performed on patients who underwent TIP hypospadias repair from 2003 to 2008. Patients who had their urethral catheter overnight were included in this analysis. Outcomes analyzed were the rates of: urethrocutaneous fistula, meatal stenosis, urethral stricture and urinary tract infections. Results A total of 64 patients underwent outpatient TIP hypospadias repair. Forty-nine patients had overnight urethral stenting with at least 12 months follow-up and were included in the analysis. Five of the 49 patients (10.2%) developed urethrocutaneous fistula. Of these five patients, two had undergone re-do hypospadias repair. The fistula rate in primary repairs was 3/45 (6.7%). There were no incidences of meatal stenosis, urinary tract infections or urethral strictures. Conclusion In our experience, overnight urethral stenting for TIP hypospadias repair does not significantly affect the rates of urethrocutaneous fistula, meatal stenosis and urinary tract infections. Patients who have had a primary TIP hypospadias repair may have their urethral catheter removed safely on post-operative day one.

KW - Hypospadias

KW - Urethral stent

KW - Urethroplasty

UR - http://www.scopus.com/inward/record.url?scp=77955559769&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955559769&partnerID=8YFLogxK

U2 - 10.1007/s00383-010-2605-6

DO - 10.1007/s00383-010-2605-6

M3 - Article

C2 - 20419376

AN - SCOPUS:77955559769

VL - 26

SP - 639

EP - 642

JO - Pediatric Surgery International

JF - Pediatric Surgery International

SN - 0179-0358

IS - 6

ER -