Overnight urethral stenting after tubularized incised plate urethroplasty for distal hypospadias.
OBJECTIVE
The duration of urethral stenting after tubularized incised plate (TIP) urethroplasty for hypospadias varies among surgeons. Typically the catheter is left for up to 7 days with the goal of minimizing post-operative complications. We describe our experience with overnight stenting for distal TIP hypospadias repair.


METHODS
A retrospective chart review was performed on patients who underwent TIP hypospadias repair from 2003 to 2008. Patients who had their urethral catheter overnight were included in this analysis. Outcomes analyzed were the rates of: urethrocutaneous fistula, meatal stenosis, urethral stricture and urinary tract infections.


RESULTS
A total of 64 patients underwent outpatient TIP hypospadias repair. Forty-nine patients had overnight urethral stenting with at least 12 months follow-up and were included in the analysis. Five of the 49 patients (10.2%) developed urethrocutaneous fistula. Of these five patients, two had undergone re-do hypospadias repair. The fistula rate in primary repairs was 3/45 (6.7%). There were no incidences of meatal stenosis, urinary tract infections or urethral strictures.


CONCLUSIONS
In our experience, overnight urethral stenting for TIP hypospadias repair does not significantly affect the rates of urethrocutaneous fistula, meatal stenosis and urinary tract infections. Patients who have had a primary TIP hypospadias repair may have their urethral catheter removed safely on post-operative day one.
Ritch
Chad R
CR
Division of Pediatric Urology, Department of Urology, Morgan Stanley Children's Hospital of New York, Presbyterian, Columbia University College of Physician and Surgeons, 3959 Broadway, New York, NY 10032, USA. cr2314@columbia.edu
Murphy
Alana M
AM
Woldu
Solomon L
SL
Reiley
Elizabeth A
EA
Hensle
Terry W
TW
D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012189:Retrospective Studies; D015607:Stents; D013524:Surgical Flaps; D013997:Time Factors; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology / Q000517:prevention & control*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects*