Faculty Collaboration Database

Hypospadias repair without a bladder drainage catheter. J Urol 1986 Feb;135(2):321-3

Date

02/01/1986

Pubmed ID

3511287

DOI

10.1016/s0022-5347(17)45626-6

Scopus ID

2-s2.0-0022599317 (requires institutional sign-in at Scopus site)   34 Citations

Abstract

We report on 44 consecutive patients who underwent 1-stage hypospadias repair based on a urethral splent (silicone pleated stent). The severity of hypospadias ranged from subcoronal in 12 cases and distal in 23 to midshaft in 4 and penoscrotal in 5. In the first 15 patients of this series the splent was used with a suprapubic tube. All patients were able to void within the first 36 hours postoperatively. The next 29 patients underwent repairs without the use of a bladder catheter, including 15 who had outpatient procedures. None of the 44 patients has required subsequent catheterization or hospitalization. There have been 2 fistulas in this series. The urethral splent permits normal voiding through and drainage of the neourethra in a variety of hypospadias repairs. The splent expands and contracts with the degree of edema and permits catheterization should this be necessary. The advantages of hypospadias repair without bladder drainage, such as short hospital stay, total ambulation, and decreased potential for infection and bladder spasm, can be realized with the use of a urethral splent.

Author List

Mitchell ME, Kulb TB

Author

Michael Ernst Mitchell MD Emeritus Professor in the Urology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Child
Child, Preschool
Evaluation Studies as Topic
Humans
Hypospadias
Infant
Male
Postoperative Care
Silicone Elastomers
Suture Techniques
Urethra
Urinary Bladder
Urinary Catheterization