Effect of Early Urethral Dilatation in Prevention of Complications in Hypospadias Patients after Urethroplasty

AUTHORS

Mohammad Vaheid Hosseini 1 , Zahra Zarei 2 , * , Abbas Rahimi 1 , Shahram Zare 3

1 Assistant Professor Department of General Surgery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 General Surgen, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

3 Associate Professor Department of Community Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

How to Cite: Hosseini M V, Zarei Z, Rahimi A, Zare S . Effect of Early Urethral Dilatation in Prevention of Complications in Hypospadias Patients after Urethroplasty, Hormozgan Med J. 2014 ; 18(4):e87728.

ARTICLE INFORMATION

Hormozgan Medical Journal: 18 (4); e87728
Published Online: July 27, 2013
Article Type: Research Article
Received: April 17, 2013
Accepted: July 27, 2013

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Abstract

Introduction: Hypospadias is a common congenital malformation in boys. One of the
common surgical techniques for correction of hypospadias is (Tubularized Incised Plate
urethraplasty=TIP). Meatal stenosis and fistula formation are known post-operative
complications. The purpose of our study was to evaluate the effect of early urethral
dilatation in prevention of post operative complications.
Methods: A randomized clinical trial including 60 patients with distal hypospadias who
underwent tabularized incised plate urethroplasty with or without dilatation was conducted
in Bandar Abbas children hospital in 2011. Patients were divided in two groups. The
number of the patients and mean age were not different in two groups. Urethral dilatation
was started in first group at two weeks following surgery and continued for six months. The
patients of second group were followed without urethral dilatation. All patients were
followed for occurance of complications for one year. Chi-Square and t-test were used to
compare the groups.
Results: In the first group the early fistula, late fistula, stenosis, hematoma, urinary
infection, cutaneous necrosis, and wound dehiscence were developed in 16.7%, 6.7%, 10%,
26.7%, 13.3%, 10%, and 20% of the patients, respectively. In the second group these
complications were seen in 10%, 6.7%, 3.3%, 13.3%, 6.7%, 3.3%, and 6.7% of the patients,
respectively. Statistical analysis of results showed no significant differences between two
groups in rate of complications.
Conclusion: Early urethral dilatation after urethroplasty has no significant effect on postoperative
complications.

Keywords

Hypospadias – Fistula – Dilatation

© 2014, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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