|
||||
|
Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
||||
|
ISSN 1681-715X |
||||
|
||||
|
- |
||||
|
ORIGINAL ARTICLE |
||||
|
- |
||||
|
Volume 26 |
April - June 2010 |
Number 2 |
||
|
|
||||
|
|
||||
|
||||
|
Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
||||
|
ISSN 1681-715X |
||||
|
||||
|
- |
||||
|
ORIGINAL ARTICLE |
||||
|
- |
||||
|
Volume 26 |
April - June 2010 |
Number 2 |
||
|
|
||||
|
|
||||
Outcomes of transurethral and suprapubic
urinary diversion following hypospadias
repair in childrenOsarumwense David Osifo1, Abiodun Luqman Azeez2
ABSTRACT
Objective: To determine the outcomes and efficacy of transurethral urinary diversion/stenting with size six feeding tube and that of suprapubic cystostomy after hypospadias repair in children.
Methodology: An 8-year prospective experience at the University of Benin Teaching Hospital on the outcomes of suprapubic urinary diversion (2000-2002) and transurethral diversion/stenting (2003-2007) after hypospadias repair in children.
Results: During the study period, a total of 196 children had urinary diversion following hypospadias repair, 69 (35.2%) suprapubic and 127 (64.8%) transurethral. They were aged between 6 months and 12 years. Children who had transurethral diversion were relatively younger (mean age 2.3 ± 2.1 years) compared to suprapubic (3 ± 3.8 years). Although anchorage to the glans penis and bed restriction in 115 (90.6%) children were required, urinary diversion was more effective, postoperative complications were rare, no trigone irritation, and excellent cosmetic results [121(95.3%)] were recorded following transurethral diversion with a size six feeding tube. Conversely, the creation of suprapubic cystostomy increased operation and hospitalization duration with higher incidences of trigone irritation, 28 (4.6%), fistula formation, 18 (26.1%), catheter blockage, 10 (14.5%), soiling of operation site with urine and fewer number of children [48 (69.6%)] with excellent cosmetic results.
Conclusions: Transurethral urinary diversion/stenting with a size six feeding tube was very effective and gave better results than suprapubic cystostomy. The feeding tube is cheap, readily available and may provide a better means of post hypospadias repair urinary diversion in children where an ideal transurethral paediatric catheter is not available.
KEYWORDS:
Hypospadias repair, Children, Transurethral urinary diversion, Suprapubic diversion.Pak J Med Sci April - June 2010 Vol. 26 No. 2 329-334
How to cite this article:
Osifo OD, Azeez AL. Outcomes of transurethral and suprapubic urinary diversion following hypospadias repair in children. Pak J Med Sci 2010;26(2):329-334.
1. David Osarumwense Osifo,
Consultant Paediatric Surgeon,
2. Abiodun Luqman Azeez,
Resident Paediatric Surgeon,
1-2: Paediatric Surgery Unit,
Department of Surgery,
University of Benin Teaching Hospital,
Benin City,
Nigeria.
Correspondence
Osifo OD,
Paediatric Surgery Unit,
Department of Surgery,
University of Benin Teaching Hospital,
Benin City, Nigeria.
E-mail: Leadekso@yahoo.com
* Received for Publication: June 4, 2008
* Revision Received: March 13, 2010
* Revision Accepted: March 15, 2010
HOME | SEARCH | CURRENT ISSUE | PAST ISSUES
Professional
Medical Publications
Room No. 522, 5th Floor, Panorama Centre
Building No. 2, P.O. Box 8766, Saddar, Karachi - Pakistan.
Phones : 5688791, 5689285 Fax : 5689860
pjms@pjms.com.pk
