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Short hospital stay versus day-care Mathieu hypospadias repair
Philemon E Okoro1, Thomas Tsang
1Department of Paediatric Surgery, Norfolk and Norwich University Hospital, United Kingdom.
Insights
Day care Mathieu hypospadias repair is safe and effective, with no increase in complications compared to traditional inpatient management. This approach allows patients to go home sooner with their catheter and dressing in place.
Area of Science:
- Pediatric Urology
- Surgical Outcomes
Background:
- Hypospadias repair is a common pediatric urological procedure.
- The Mathieu repair is a widely used technique for hypospadias.
- Optimizing patient recovery and reducing hospital stay are key goals in pediatric surgery.
Purpose of the Study:
- To compare the outcomes of Mathieu hypospadias repair in day-care patients versus those with a 48-hour hospital stay.
- To evaluate catheter and dressing-related complications in both management groups.
Main Methods:
- Retrospective analysis of Mathieu hypospadias repairs performed by a single surgeon over 11 years.
- Patients were divided into two groups: 48-hour inpatient management (Group A) and day-care management (Group B).
- Outcome measures focused on catheter and dressing-related complications.
Main Results:
- Sixty-five patients were analyzed; 43 in Group A and 22 in Group B.
- Complication rates were similar: 14.0% in Group A and 13.6% in Group B.
- Fistula rates were also comparable: 4.7% in Group A and 4.5% in Group B.
Conclusions:
- Day-care Mathieu repair for hypospadias is not associated with an increased incidence of complications.
- This approach offers a safe alternative to traditional inpatient management, potentially reducing healthcare costs and improving patient experience.
Objective:
This study compared the outcome of Mathieu repair between patients who went home within 24 hours on catheter and dressing and patients who were managed in hospital for 48 hours and had their catheters and dressings removed before going home.
Patients And Methods:
A retrospective study of Mathieu hypospadias repair performed by the same surgeon for 11 years. Outcome measures were catheter and dressing related problems/complications.
Results:
Sixty five patients were included in the study; 43(66.2%) were managed in-hospital for the first 48 hours (Group A), while 22(33.8%) were managed as day-care cases (Group B). Complication rate was 6(14.0%) and 3(13.6%) respectively, with fistula rate of 2(4.7%) in Group A and 1(4.5%) in Group B.
Conclusion:
Day care Mathieu repair of hypospadias does not increase the occurrence of complications.
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