title: Use of a urethral splent in one-stage hypospadias repair.
abstract: Over a 9-month period, 28 patients with distal penile or more proximal hypospadias underwent one-stage surgical repair. Bladder drainage was achieved in the traditional fashion with either an indwelling Foley catheter or suprapubic catheter or by using a modified urethral silicone stent ("splent"). Twenty-two patients had repair with a perimeatal skin flap, and the remaining six patients had major urethral reconstruction with a vascularized preputial island flap. Use of the urethral splent was associated with shorter postoperative hospitalization and minimal short-term complications. The authors' experience has shown that use of a urethral splent for urinary drainage is efficient and effective in postoperative management after hypospadias repair.
authors.affiliation: Division of Pediatric Urology, Montreal Children's Hospital, McGill University, Que.
authors.forename: J G
authors.initials: JG
authors.lastname: Pike
authors.forename: A
authors.initials: A
authors.lastname: Brzezinski
authors.forename: G H
authors.initials: GH
authors.lastname: Kiruluta
mesh_terms: D002408:Catheters, Indwelling; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D015607:Stents; D013524:Surgical Flaps; D014521:Urethra; D014546:Urinary Catheterization