The effect of urethral catheter size on meatal stenosis formation in children undergoing tubularized incised plate urethroplasty.

Autor: Karakus SC; Department of Pediatric Surgery, Gaziantep Children Hospital, Gaziantep, Turkey., Koku N; Department of Pediatric Surgery, Gaziantep Children Hospital, Gaziantep, Turkey., Parmaksiz ME; Department of Pediatric Surgery, Gaziantep Children Hospital, Gaziantep, Turkey., Ertaskin I; Department of Pediatric Surgery, Gaziantep Children Hospital, Gaziantep, Turkey., Kilincaslan H; Department of Pediatric Surgery,Faculty of Medicine, BezmialemVakif University, Istanbul, Turkey. hkilincaslan@yahoo.com.tr., Deliaga H; Department of Pediatric Surgery, Servergazi State Hospital, Denizli, Turkey.
Jazyk: angličtina
Zdroj: Urology journal [Urol J] 2014 Jan 04; Vol. 10 (4), pp. 1095-8. Date of Electronic Publication: 2014 Jan 04.
Abstrakt: 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.
Databáze: MEDLINE
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