Author/Authors :
Karakus، Suleyman Cuneyt نويسنده Department of Pediatric Surgery, Gaziantep Children Hospital, Gaziantep , , Koku ، Naim نويسنده Department of Pediatric Surgery, Gaziantep Children Hospital, Gaziantep , , Parmaksiz ، Mehmet Ergun نويسنده Department of Pediatric Surgery, Gaziantep Children Hospital, Gaziantep , , Ertaskin، Idris نويسنده Department of Pediatric Surgery, Gaziantep Children Hospital, Gaziantep , , Kilincaslan، Huseyin نويسنده Department of Pediatric Surgery, Faculty of Medicine, Bezmialem Vakif University, Istanbul , , Deliaga ، Hasan نويسنده Department of Pediatric Surgery, Servergazi State Hospital, Denizli ,
Abstract :
Purpose: Meatal stenosis is still a common problem in tubularized incised plate urethroplasty.
In this study, we aimed to seek for a relationship between the size of urethral catheter
and meatal stenosis formation in children undergoing tubularized incised plate urethroplasty.
Materials and Methods: We retrospectively reviewed 83 children who underwent tubularized
incised plate urethroplasty for hypospadias. The whole group was classified into the
groups A and B based on the catheter size. One group (group A) consisted of 44 patients
(mean age, 4.82 ± 3.83 years) with tubularized neourethra over a 6 Fr catheter, while the
other group (group B) included 39 patients (mean age, 5.19 ± 3.83 years) with tubularized
neourethra over a 8 Fr catheter.
Results: There were no significant differences between the groups according to their age, location
of urethral meatus, dehiscence and urethrocutaneous fistula formation. Meatal stenosis
formation in group B was markedly higher than that in group A. Number of meatal dilatation
was higher in group B compared to group A.
Conclusion: We suggest that the tubularization of urethral plate over a small-sized (6 Fr)
catheter, regardless of the age of the patients, prevents meatal stenosis by reducing foreign
body reaction and pressure injury and by hindering secondary healing.
