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Simplified postoperative management of hypospadias repair
1Department of Urology, Columbia-Presbyterian Medical Center, College of Physicians and Surgeons of Columbia University, New York, New York.
Objective:
To assess the effect of simplified postoperative management of hypospadias repair in an outpatient setting.
Methods:
The records of 162 boys were reviewed who underwent hypospadias repair by the following techniques: meatal-based flap (72), free skin graft (54), two-stage repair (21), and bladder mucosal graft (15). Urinary diversion was provided by open catheter drainage in the latter three groups, and a simple wrap penile dressing was used in all patients. With the exception of the bladder mucosal graft technique, all procedures were performed as outpatients.
Results:
Complications requiring a second surgical procedure occurred in 28 patients (17%). No patient required rehospitalization during the postoperative period.
Conclusions:
These results compare favorably to previously reported series utilizing traditional postoperative techniques.