A PROSPECTIVE STUDY ON THE OUTCOME OF DIFFERENT TYPES OF CATHETER USED IN HYPOSPADIAS SURGERY

Abstract

Background: Congenital penile anamoly are common in male population of paediatric age group and most common is hypospadias. Different types of catheters are being used during hypospadias repair. The objective of this study was to compared the post-operative clinico- pathological complications, patient`s compliance, effectiveness of hypospadias repair between All-silicone, Latex Foley`s, & P.V.C stent (Feeding-tube).
 Methods: Prospective study, based on inclusion and exclusion criteria with a sample size of 60 patients, study carried out in patients posted for hypospadias surgery in Department of Surgery, M.G.M Medical College and M.Y Hospital , Indore (Division of Pediatric Surgery), by a same surgeons of Paediatric Surgery Unit, M.G.M.M.C & M.Y. Hospital INDORE, (M.P),with the use of 3 types of catheter, namely, latex foley’s catheter, All-silicon foley’s catheter, P.V.C-stent (feeding-tube), 20 in each group.
 Results: The total number of admissions in the study period from March 2017 to March 2018 in paediatric surgery division in our hospital was – 60. Out of which, 05 was glanular hypospadias cases, 16 was coronal hypospadias cases, 11 was distal-penile hypospadias cases, 13 was mid-penile hypospadias cases. 05 were proximal-penile hypospadias cases, 10 was scrotal & perineal hypospadias cases. Of these 60 patients, 06 - had small urethro cutaneous fistula at the site of original meatus. 01 had wound-dehiscence. 13 had need of anticholinergic/ antispasmodic Tropan. 06 required re-do surgery & 01 had accidental dislodgement of stent.
 Conclusion: All-silicon foley`s & latex foley`s catheter having similar results. Thus, can be used in hypospadias surgery according to their availability as, CHOICE OF CATHETER in place of P.V.C stent (feeding-tube).
 Keywords: Hypospadias, All-silicon foley`s catheter , latex foley`s catheter, P.V.C stent[(feeding-tube).