DOI: 10.36347/sasjs.2022.v08i03.020

Pages: 176-181

Background: Glandular, coronal, and distal penile are the variants of distal hypospadias. Surgical techniques for distal hypospadias varied based on the location of the meatal opening. Usual variants of techniques of surgery are glanduloplasty, MAGPI, and tabularized incised plate with or without internal urethral stenting postoperatively. Aim of the study: To see the outcome of urethroplasty in distal hypospadias with a minimal period (<48 hours) of postoperative stenting. Methodology: This Quasi-experimental study was conducted from January 2018 to April 2019 in the Department of Pediatric Surgery, Mymensingh medical college hospital, Mymensingh. Among the 50 patients with distal hypospadias who fulfill the inclusion and exclusion criteria. MAGPI and TIP procedures were done with a minimum period of postoperative stenting (<48hours). Postoperative care by nothing per oral for 4-6 hours, intravenous fluid, intravenous antibiotics, parenteral, and per rectal analgesics. Postoperative follow-up was observed and recorded if any uneventful events occurred, measures were taken accordingly. The stent was removed on the 2nd POD and discharged the patient on the 3rd POD. After discharge, all patients were followed up for 3 months. Data were analyzed by statistical package for social sciences (SPSS) version 20. Results: Among the 50 patients, the age range was 6 months to 12 years with the mean age 6.08±3.69 years. 8(16%) patients were glandular variety, 22(44%) patients were coronal and 20(40%) were distal shaft variant. Among them, MAGPI procedures were performed in 18(36%) patients and TIP in 32(64%) patients. Immediate postoperative complications- hematoma 2(4%), stent block 2(4%), wound disruption 2(4%). Stent block treated by normal saline irrigation through stent, hematoma, and wound disruption by local wound care. Among the 2(4%) patients with hematoma, 1(2%) patient developed wound infection, later on, U-C fistula occurred and among the 2(4%) patients of wound ....