COMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION

Objective: To compare the urethroplasty with and without stent for hypospadias in terms of frequency of postoperative urethrocutaneous fistula formation. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Pediatric Surgery, Pak Emirates Military Hospital Rawalpi...

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Autores principales:	Naveed Ahmed, Iftikhar Ahmed, Omar Faraz, C. Aqeel Safdar, Mudasir Saleem, Safdar Hussain Awan, Javad Yusuf
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	urethroplasty stent hypospadias Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/621b98f34e8942a8aa8700c60ede8c0c
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spelling	oai:doaj.org-article:621b98f34e8942a8aa8700c60ede8c0c2021-11-17T02:57:33ZCOMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION0030-96482411-8842https://doaj.org/article/621b98f34e8942a8aa8700c60ede8c0c2018-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2408/2036https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the urethroplasty with and without stent for hypospadias in terms of frequency of postoperative urethrocutaneous fistula formation. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Pediatric Surgery, Pak Emirates Military Hospital Rawalpindi, from Jan 2015 to Dec 2017. Patients and Methods: A total of 260 patients with diagnosis of hypospadias were selected from outpatient department after confirming their diagnosis by taking a detailed history and performing thorough clinical examination. Patients were divided randomly into two groups, group A and group B via lottery method. In group A, urethroplasty was done by using a stent while in group B, urethroplasty was done without a stent although stent was used in this group as a template preoperatively to form a neo urethra and then removed after 24 hours. The 6-8 FR nasogastric tube was used as stent. The follow up was after 2, 6 and 12 weeks to see the fistula formation in both types of procedures. All the data was recorded on the specially designed proforma attached as annexure A. Data was analyzed using SPSS version 22. Results: The overall incidence of urethrocutaneous fistula was 21 (8%) out of the total study population. In group-A there were 18 (13%) cases who developed fistula and in group-B 3 (2%) cases developed fistula. There was significantly higher no of cases in group-A, who developed fistula as compared to group-B, p-value = 0.001. Conclusion: Stents are routinely used in many centres after urethroplasty for hypospadias repair leading to higher incidence of urethrocutaneous fistula. If urethroplasty is done meticulously, stentless surgery may produce fewer fistulas.Naveed AhmedIftikhar AhmedOmar FarazC. Aqeel SafdarMudasir SaleemSafdar Hussain AwanJavad YusufArmy Medical College RawalpindiarticleurethroplastystenthypospadiasMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 6, Pp 1511-1516 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	urethroplasty stent hypospadias Medicine R Medicine (General) R5-920
spellingShingle	urethroplasty stent hypospadias Medicine R Medicine (General) R5-920 Naveed Ahmed Iftikhar Ahmed Omar Faraz C. Aqeel Safdar Mudasir Saleem Safdar Hussain Awan Javad Yusuf COMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION
description	Objective: To compare the urethroplasty with and without stent for hypospadias in terms of frequency of postoperative urethrocutaneous fistula formation. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Pediatric Surgery, Pak Emirates Military Hospital Rawalpindi, from Jan 2015 to Dec 2017. Patients and Methods: A total of 260 patients with diagnosis of hypospadias were selected from outpatient department after confirming their diagnosis by taking a detailed history and performing thorough clinical examination. Patients were divided randomly into two groups, group A and group B via lottery method. In group A, urethroplasty was done by using a stent while in group B, urethroplasty was done without a stent although stent was used in this group as a template preoperatively to form a neo urethra and then removed after 24 hours. The 6-8 FR nasogastric tube was used as stent. The follow up was after 2, 6 and 12 weeks to see the fistula formation in both types of procedures. All the data was recorded on the specially designed proforma attached as annexure A. Data was analyzed using SPSS version 22. Results: The overall incidence of urethrocutaneous fistula was 21 (8%) out of the total study population. In group-A there were 18 (13%) cases who developed fistula and in group-B 3 (2%) cases developed fistula. There was significantly higher no of cases in group-A, who developed fistula as compared to group-B, p-value = 0.001. Conclusion: Stents are routinely used in many centres after urethroplasty for hypospadias repair leading to higher incidence of urethrocutaneous fistula. If urethroplasty is done meticulously, stentless surgery may produce fewer fistulas.
format	article
author	Naveed Ahmed Iftikhar Ahmed Omar Faraz C. Aqeel Safdar Mudasir Saleem Safdar Hussain Awan Javad Yusuf
author_facet	Naveed Ahmed Iftikhar Ahmed Omar Faraz C. Aqeel Safdar Mudasir Saleem Safdar Hussain Awan Javad Yusuf
author_sort	Naveed Ahmed
title	COMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION
title_short	COMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION
title_full	COMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION
title_fullStr	COMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION
title_full_unstemmed	COMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION
title_sort	comparison between urethroplasty with and without stent for hypospadias in terms of postoperative urethrocutaneous fistula formation
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/621b98f34e8942a8aa8700c60ede8c0c
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COMPARISON BETWEEN URETHROPLASTY WITH AND WITHOUT STENT FOR HYPOSPADIAS IN TERMS OF POSTOPERATIVE URETHROCUTANEOUS FISTULA FORMATION

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