Minimizing the postoperative complications of severe hypospadias using a simple technique

Abstract

Background The aim of this study was to decrease complication rates in proximal hypospadias surgery.
Methods A simple method of stenting using a polypropylene stent has been developed for the most severe form of hypospadias during the period from January 2008 to January 2011 in the Department of Pediatric Surgery. The total number of patients was 46. The patients were classified into group 1 (n= 23), in which a polypropylene stent was used, and group 2 (n= 23), in which a polypropylene stent was not used.
Results In group 1, complications occurred in three patients (13.04%), whereas in group 2 it occurred in 12 patients (52.2%). The difference in the total number of complications between groups was highly significant (P < 0.001). In group 1, no patient needed redo surgery, and in group 2 four patients (17.39%) needed redo surgery (P < 0.05). All other patients responded to repeated dilatation in the follow-up.
Conclusion Although the sample size was small, this simple modification can decrease the complication rate significantly in the most severe form of hypospadias. 

Keywords: polypropylene stent, proximal hypospadias, surgical complications, urethroplasty