Simplified postoperative management of hypospadias repair.
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.
Burbige
K A
KA
Department of Urology, Columbia-Presbyterian Medical Center, College of Physicians and Surgeons of Columbia University, New York, New York.
D000293:Adolescent; D000556:Ambulatory Surgical Procedures; D001458:Bandages; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000453:epidemiology / Q000601:surgery*; D007223:Infant; D008297:Male; D010413:Penis / Q000601:surgery*; D011182:Postoperative Care; D012086:Reoperation; D016038:Skin Transplantation; D013524:Surgical Flaps; D013997:Time Factors; D014546:Urinary Catheterization