Age-dependent early complications of hypospadias repair: a single institutional experience
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Read the article on link.springer.com ↗Article · Feb 2023 · 1 min read
In brief
In brief
This retrospective study of 98 hypospadias patients found that children over 2 years had significantly higher early complication rates (11%) compared to younger children (0%), including dislodged stents, urinary retention, and need for suprapubic catheter placement. The findings suggest older children require enhanced post-operative protocols including stricter parental education and more robust stent anchorage.
Written by the GCMD Library team from the article.
Abstract
Purpose
To correlate age at hypospadias repair with early post-operative complications and highlight need for adaptation to post-operative care in older children.
Methods
Anecdotal evidence suggests boys with delayed surgery for hypospadias suffer increased rates of early post-operative complication. Hence, a retrospective analysis was conducted of all patients undergoing hypospadias repair between March 2019 and 2022.
Results
Ninety eight patients were divided into Group A (< 2years of age at first surgery) or Group B (> 2years). While patients in Group A encountered no early post-operative complications, seven in Group B (11%) suffered a range of complications including dislodged stents (3/7), significant spasmodic pain requiring prolonged hospital stay (2/7) and urinary retention (2/7). More than half of these children required emergency supra-pubic catheter insertion.
Conclusion
Significantly more children undergoing hypospadias surgery after the age of 2 years suffered complications within the early post-operative period. This resulted in prolonged hospital stays and a number returning to theatre for insertion of a supra-pubic catheter. We recommend a tailored approach to the post-operative care of older children undergoing hypospadias repair, including strict parental education regarding dressing/stent care and medication compliance, as well as efforts to enhance robustness of dressings and stent anchorage in children likely to pull at stents.