Comparison of the Outcome of Interrupted Suture and Continuous Suture in Tubularized Incised-Plate (TIP) Urethroplasty Hypospadias Repair

Abstract

Introduction: The tubularized incised plate (TIP) urethroplasty has obtained worldwide acceptance for distal hypospadias repair due to its low complication rate, good cosmetic result, and technical simplicity. Aim of the Study: The aim of this study was to compare the surgical outcome between Continuous suture & interrupted suture in case of tabularized incised plate (TIP) urethroplasty. Methods: This prospective randomized comparative study was conducted in the Division of Pediatric Surgery, Bangladesh Institute of Child Health & Dhaka Shishu (Children) Hospital, Dhaka from July 2017 to June 2019. Total 40 patients were included in this study and divided in two groups which are Group A and Group B. Result: In the current study, the mean age of participants was 41.15±24.46 months in group A and 38.05±25.14 months in group B. There was no significant difference between ages of two groups as the p = 0.695. The mean penile length of participants was 31.90±7.04 mm in group A and 27.95±5.04 mm in group B. There was significant statistical difference between penile lengths of two groups as the p value was 0.049. Operation time in group A and group B was 66.86±3.51 minutes and 79.38±5.04 minutes respectively. The result showed that there was strong statistical difference between operation time in two groups as the p=0.0001. Operation cost in group A and group B was 18810.00±818.79 TK and 18385±1962.08 TK respectively. The result showed that there was no statistical difference between operation cost in two groups as the p=0.377. Hospital stay in group A and group B was 8.1±0.45 day and 8.0±0.0 day respectively. The result showed that there was no statistical difference between hospital stay in two groups as the p=0.324. There is no wound infection occurred in group B patient. There was no significant statistical difference between wound infection of two groups as the p value was >0.05. There was no significant statistical difference between occurrence of UC fistula .......