Bypassing The Cuffing Effect In Adult Hypospadias Surgery Diversion

Abstract

Introduction Urethral stents are frequently used for urinary diversion after hypospadias surgery. The foley catheter is not generally preferred, for the formation of a ‘cuff ’ on deflation of the balloon of all foley catheters that causes difficulty in removal (cuffing effect of balloon). In the literature, there is not comprehensive study on the usage of foley catheter for adult hypospadias surgery. We have recently been using the modified foley catheter that we designed in our patients. In this study, we aim to compare the results of no-balloon catheter (nelaton catheter) and modified foley catheter usage after TIPU operations in adults. Patients and methods The medical records of 53 adult patients who applied TIPU for subcoronal or midpenile hypospadias between November 2008 and September 2012 were evaluated retrospectively. Patients were evaluated in two groups based on the performed urinary diversion. Group 1 was composed of 29 patients to whom 16 F nelaton catheter was used for urinary diversion between November 2008-December 2010, whereas Group 2 consisted of 24 patients to whom 12 F foley catheter coated by 16 F nelaton catheter by half was used for urinary diversion between February 2011 – September 2012. Results There was no statistically significant difference between Group 1 and Group 2 in terms of age, the location of the mea, the number of secondary cases, the length of the neourethra, fistula and urethral stricture (p>0.05). Surgery success rate was 79.3% in Group 1 and 79.1% in Group 2 (p>0.05). At the 6th month follow-up, no statistically significant difference was found between two groups regarding fistula and urethral stricture. In terms of postoperative patient comfort, Group 2 were better than Group 1 (p