Correlation of Cystostomy to Low Urethrocutaneous Fistula Incident in Hypospadia Surgery

Laura, SF; Duarsa, Gede Wirya Kusuma; Mahadewa, Tjokorda Gde Bagus

doi:10.15562/bmj.v3i3.88

Cited by 4 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The previous study has shown the correlation of cystostomy placement to a low incident of urethrocutaneous fistulae following hypospadias surgery [28]. Nevertheless, most of the Indonesian pediatric urologists prefer not to use cystostomy in this study.…”

Section: Discussionmentioning

confidence: 93%

Common Practice of Hypospadias Management by Pediatric Urologists in Indonesia: A Multi-center Descriptive Study from Referral Hospitals

Duarsa

Tirtayasa

Daryanto

et al. 2019

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND: Hypospadias is the second most common congenital anomalies among human congenital disabilities. There are over 300 surgery techniques being introduced to treat hypospadias. The successful of hypospadias repair is assessed by several outcomes as well as complications following surgery. AIM: This study aims to show the multicenter hypospadias data in Indonesia descriptively. METHODS: All the data were compiled based on questionnaires, which were distributed to Indonesian pediatric urologists. The questionnaire includes several questions containing demographic aspect, preferred techniques being used, and complications being found regarding hypospadias repair. RESULTS: Eighteen Indonesian pediatric urologists from 12 centres involved in this study. The data were collected from June – September 2018 based on the surgeon’s experience throughout 2017. From 591 cases based on the returned questionnaire, penile-type hypospadias was the most common type of hypospadias being treated (35.7%) followed by penoscrotal (28.9%) and scrotal-type (12.9%). Moderate severity of chordee was mostly seen among all cases (40.6%). Tubularised incised plate (TIP), + Thiersch Duplay, was the most common technique being used to treat hypospadias (44.3%), followed by onlay island preputial flap (14.9%) and two-stage technique (14%). The incidence of urethrocutaneous fistulae in this study was 13.9%. CONCLUSION: This study showed how Indonesian pediatric urologists dealt with hypospadias cases. TIP + Thiersch Duplay procedure being the preferred technique used by most participants and the rate of urethrocutaneous fistulae as one of the complications was comparable with previous studies.

show abstract

Section: Discussionmentioning

confidence: 93%

Common Practice of Hypospadias Management by Pediatric Urologists in Indonesia: A Multi-center Descriptive Study from Referral Hospitals

Duarsa

Tirtayasa

Daryanto

et al. 2019

Open Access Maced J Med Sci

View full text Add to dashboard Cite

show abstract

“…In addition, fistula incidence can also be minimized by post-urethroplasty cystostomy. The incidence of post-urethroplasty fistula with cystostomy was 2.9% while those without cystostomy were 17.6% [12].…”

Section: Discussionmentioning

confidence: 99%

Functional and Cosmetic Urethroplasty Outcome, Emotional Stress after Genital Examination, Post Traumatic Stress Disorder, and Ages at the Time of Urethroplasty as Potential Risk Factor Causing Psychosocial Disorder of Hypospadia Children

Duarsa¹,

Pratiwi²,

Tirtayasa³

et al. 2019

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND: Children with hypospadias, being born with congenital abnormalities, having repeated genital examination, hospitalization, and undewent genital surgery, experienced psychological stress that may negatively affect their psychosocial life. Choosing the proper time of surgery as recommended is important, since it may have a positive impact on the psychosocial adaptation. AIM: This study aims to find the risk factors causing psychosocial disorders in post-repair surgery on hypospadias children. METHODS: This is a case control study, from 203 hypospadias patients underwent urethroplasty from 2009 to 2018. Subjets were screened for psychosocial disorders by Pediatric Symptoms Questionnaire 17 (PSC-17) questionnaire to find those with psychosocial disorders, score 15 or more (case group) and those without psychosocial disorders (control group), score 0-14. We traced back the data retrospectively from both group (history of utrethrocutaneous fistula and meatal stenosis, age upon urethroplasty) and collecting new ones (cosmetic outcome, emotional stress after genital examination, and the existence of PTSD). Fisher’s exact test was performed to see the Odds ratio (OR) for each variable. RESULTS: Some children with hypospadias show impaired on psychocosial. Functional and cosmetic outcome not significantly different as potensial risk factor psychosocial disorders, genital examination doesn’t trigger psychological stress and also none children show PTSD symtomp after surgery. Comparison time of age urethroplasty did not differ significantly between two group CONCLUSIONS: Twenty-nine children post urthroplasty show psychosocial disorders. Functional and cosmetic urethroplasty outcomes, emotional stress after genital examination, post-traumatic stress disorder were not risk factors of pshycosocial disorder of hypospadias patients. Ages at time of surgery did not differ significantly between two group and this is contradict to the previous recommendations.

show abstract

“…[2] Urethrocutaneous fistula is one of the most common complications occurred, with incidence rates ranging between 5.7-10%. [2,3] Improper wound healing due to hematoma, infection, overly tense approximation, urine extravasation, ischemia, necrosis, or improper use of stitching materials can all result in urethrocutaneous fistula. [4] Various studies had given different results from the use of urinary diversions as well as stents in the prevention of urethrocutaneous fistula.…”

Section: Introductionmentioning

confidence: 99%

The Comparison on Complications from Suprapubic vs. Transurethral Urinary Diversion After Hypospadias Repair: Meta-Analysis

Arifin¹,

Soebadi²,

Djojodimedjo³

2021

IJRP

View full text Add to dashboard Cite

Background: Urinary diversion post hypospadias repair plays an important role in the prevention of complications. This study objective was to analyze the comparison among suprapubic versus transurethral urinary diversion in preventing the complications after hypospadias repair. We aimed to compare the complications from suprapubic urinary diversion and transurethral urinary diversion in patients after hypospadias repair.Methods: A systematic search was conducted in PUBMED and Google Scholar databases to identify relevant randomized controlled trials (RCTs). The subjects were studies that involved post-operative hypospadias patients. Compared outcomes were the incidence of urethrocutaneous fistula, meatal stenosis, and repair disruption. The approach to systematic study began with the use of PRISMA protocol based on inclusion and exclusion criteria. Meta-analysis was performed based on pooled analysis. Visualizations of each study were described with forest plots.Results: There were two RCTs that met the criteria for quantitative analysis. Forest plot analysis showed the use of suprapubic diversion might significantly lower the risk of urethrocutaneous fistula (OR 0.22, 95% CI 0.05 -0.89, p = 0.03). Meatal stenosis and repair disruption between the two studies did not differ significantly. Conclusion:There was a significantly lower incidence of urethrocutaneous fistula in postoperative hypospadias patients who performed suprapubic urine diversion compared to those who received transurethral urine diversion. The difference in the incidence of meatal stenosis and repair disruption was insignificant between the two groups of urine diversion.

show abstract

Correlation of Cystostomy to Low Urethrocutaneous Fistula Incident in Hypospadia Surgery

Cited by 4 publications

References 0 publications

Common Practice of Hypospadias Management by Pediatric Urologists in Indonesia: A Multi-center Descriptive Study from Referral Hospitals

Common Practice of Hypospadias Management by Pediatric Urologists in Indonesia: A Multi-center Descriptive Study from Referral Hospitals

Functional and Cosmetic Urethroplasty Outcome, Emotional Stress after Genital Examination, Post Traumatic Stress Disorder, and Ages at the Time of Urethroplasty as Potential Risk Factor Causing Psychosocial Disorder of Hypospadia Children

The Comparison on Complications from Suprapubic vs. Transurethral Urinary Diversion After Hypospadias Repair: Meta-Analysis

Contact Info

Product

Resources

About