title: The use of octyl cyanoacrylate (superglue) in hypospadias repair including its use as a fixator for urethral stents.
abstract: BACKGROUND
  Octyl cyanoacrylate has been used for many years for simple skin closure, but its use in hypospadias repair and as a urethral stent fixator has not been previously reported. We report our experience.
  
  
  METHODS
  A retrospective study was performed of all children undergoing hypospadias surgery from July 2007 to July 2011. Octyl cyanoacrylate was used for skin closure after placing a few sutures to align the skin edges. No other dressing was used. A urethral stent, if used, was glued to the penis and removed after one week.
  
  
  RESULTS
  Seventy two procedures were performed on 37 patients. Eight distal hypospadias (22%) underwent single stage repair. Seventeen (46%) underwent staged repair for severe hypospadias, and twelve (32%) "hypospadiac cripples" underwent various salvage procedures. One patient (1/72) had partial dehiscence, and one stent dislodged. There were no wound infections. Four (4/25) tabularized urethroplasties developed a fistula (16%).
  
  
  CONCLUSIONS
  Octyl cyanoacrylate is easy to apply on difficult hypospadias contours. It forms a strong, waterproof adhesive bond which separates from epithelial surfaces in 7 to 10 days and makes it an effective urethral stent fixator and an ideal dressing for hypospadias surgery.
authors.affiliation: Prince Court Medical Center, Kuala Lumpur, Malaysia. hockltan@yahoo.com
authors.forename: Hock-Lim
authors.initials: HL
authors.lastname: Tan
authors.forename: Shireen A
authors.initials: SA
authors.lastname: Nah
authors.forename: Iskandar I
authors.initials: II
authors.lastname: Budianto
authors.forename: Syariz
authors.initials: S
authors.lastname: Sehat
authors.forename: Riana
authors.initials: R
authors.lastname: Tamba
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003487:Cyanoacrylates / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000175:diagnosis / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D015607:Stents; D013529:Surgical Wound Dehiscence / Q000517:prevention & control; D013536:Suture Techniques; D013718:Tensile Strength; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*
chemical_list: D003487:Cyanoacrylates; D014014:Tissue Adhesives