Outcome of hypospadias repair - stentless versus stented repair

Abstract

Background: This study was undertaken to evaluate the outcome of hypospadias repair with or without stents. Methods: Total 30 patients below 14 years underwent primary and re-operative hypospadias surgery in NSCB medical college, Jabalpur between September 2006 to September 2007. Out of these 30 patients, 18 were proximal and 12 were distal hypospadias. All patients were operated for hypospadias repair using standard operative techniques. In alternate patient stent was not placed, while urethral stents were kept in place for a week in the remaining half. Results: In 14 cases early stent removal was done or no stent was placed and in 16 cases late removal of stent was done. In distal hypospadias cases 2 patients developed fistula and both were from the group in which stents were placed .In proximal hypospadias 6 patients developed fistula post operatively, of these 4 were from the early removal group while 2 were from the late stent removal group. The duration of hospital stay was not significantly affected by the duration of stent placement. But doing a MAGPI procedure significantly reduced hospital stays as compared to Snodgrass repair in distal hypospadias. No such difference in hospital stay was associated with different procedures used in proximal hypospadias. Conclusions: Stent placement can be avoided specially in cases of distal hypospadias to reduce morbidity and post-operative stay in these patients. Repair with stents or without stents did not affect the outcome of hypospadias repair in terms of fistula formation or postoperative stay.