Short Term Outcome of Urethroplasty with or without Urethral Stent: A Comparative Study

Abstract

Urethroplasty is the surgery for Hypospadias. The most  common complication of Hypospadias surgery is  urethro-cutaneous (U-C) fistula. We designed this study to  compare the short term outcome of Urethroplasty with or  without urethral stent postoperatively. A total 30 patients of  distal penile hypospadias except glnular variety have been  studied prospectively in Pediatric Surgery Department of  Banga Bandhu Sheikh Mujib Medical University, Dhaka for a  period of 20 months, from March 2005 to October 2006. All  patients were divided into Group-A (pt with stent) and Group-  B (pts without stent). Age ranges of all patients were 2-12  years. After operation no patient developed urinary retention  in stented group (Group-A) and 3 patients developed urinary  retention which was managed by suprapubic puncture. 5  patients developed urethra-cutaneous fistula in stented group  (Group- A) and 2 patients developed fistula in non stented  group (Group-B). Calibration was done in all patients after 2  weeks of operation. Before calibration 2 patients came to us  with narrow urinary stream of Group-B. After analyzing the  result, it was concluded that the short term outcome of  Urethroplasty without postoperative urethral stent is better  than with stent specially in terms of Urethro-cutaneous fistula.

DOI: http://dx.doi.org/10.3329/medtoday.v24i1.14110

Medicine TODAY Vol.24(1) 2012 pp.23-26