Descriptive Profile Outcomes between Closed and Open Drainage Systems Following Urethroplasty.
BACKGROUND
An indwelling urinary catheter or urethral stent are standardly used following a urethroplasty to prevent post-operative urinary retention. There are both closed drainage system (CDS) and open drainage system (ODS) available.


OBJECTIVE
The study was designed to determine the outcomes between post-operative CDS and ODS.


METHODS
Fifty-seven hypospadias patients with 66 urethroplasties, performed by a single surgeon, were assessed. During the 40-month study period, the operative outcomes relative to the technique of both urinary catheter drainage systems were evaluated for length of hospital stay (LOS), cost of hospitalization, and post-operative complications.


RESULTS
CDS and ODS drainage systems were performed in 32 and 34 operations, respectively. The patient characteristics, the surgical profiles, and post-operative complications were not statistically significant. The CDS/ODS group had median LOS (range) of 9 (1 to 22) 12 (1 to 6) days, respectively, and cost of hospitalization (SD) of 22,908 (4,455)/18,408 (3,848) Bahts respectively. Both had statistical significance, p < 0.001. The subgroup of 26 posterior hypospadias and TIP urethroplasties were also evaluated.


CONCLUSIONS
Patients with hypospadias given an open drainage system after urethroplasty have a higher rate of early discharge, lower cost of hospitalization, and a lower rate of wound infection.
Piyawan
P
Chiengkriwate
Wararat
W
Chamnanniam
Nopporn
N
Ketwilai
D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D011184:Postoperative Period; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects; D014521:Urethra / Q000601:surgery*