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Is stent type used in snodgrass method a factor in fistula formation?
1Department of Pediatric Surgery, Firat University School of Medicine, Elazig, Turkey.
Nigerian Journal of Clinical Practice
|August 30, 2018
Summary
Using a feeding tube for hypospadias repair with the Snodgrass method significantly reduces fistula complications compared to using a Foley catheter. This finding suggests feeding tubes are a more advantageous option for tubularized incised plate urethroplasty.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Urethral Reconstruction
Background:
- The Snodgrass method, or tubularized incised plate urethroplasty (TIPU), is a standard surgical approach for hypospadias repair.
- Optimizing stenting techniques is crucial for minimizing complications post-urethroplasty.
Purpose of the Study:
- To compare the outcomes of hypospadias repair using feeding tubes versus Foley catheters as stents.
- To evaluate the impact of different stenting methods on fistula complication rates in TIPU.
Main Methods:
- A retrospective analysis of 123 patients undergoing hypospadias repair via the Snodgrass method.
- Patients were divided into two groups: Group A (silicone Foley catheter stent) and Group B (feeding tube stent).
- Outcomes, including fistula development, were compared between the two groups.
Main Results:
- Fistula complications occurred in 31.3% of patients in Group A (Foley catheter) versus 4.39% in Group B (feeding tube).
- A statistically significant difference (P = 0.0002) in fistula development was observed between the groups.
- The feeding tube group demonstrated a substantially lower rate of fistula complications.
Conclusions:
- Employing a feeding tube as a stent in tubularized incised plate urethroplasty is associated with a significantly lower risk of fistula formation.
- Feeding tubes represent a more advantageous stenting option compared to Foley catheters for hypospadias repair using the Snodgrass technique.
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