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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 2 No. 1 (2011)

Short Term Outcome of Urethroplasty for Distal Hypospadias with Interrupted Suture Compared to continuous Suture

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2011
CONTENTSVolume 02Number 1January 2011
Editorial
Choledochochal Cyst
Md Mahbub-ul-Alam
03
Original Articles
Study of the Effect of Early Feeding after Gut Resection and Primary Anastomosis: A Prospective Randomised Trial
MN Zaman, MMM Pervez, MAB Akan, AM Shahinoor, M Anisuzzaman, MN Islam
07
Breast Diseases in Children and Adolescents - A Two Year Experience in a Private Hospital of Dhaka
S Islam, AKMA Morshed, SA Ali
12
Histological Analysis of Vascular and Collagen Tissues in the Ventral and Corresponding Dorsal Skin of Mid-Penile Hypospadiac Penis at the Meatal and Coronal Levels: A Comparative Study
MAB Akan, MR Amin, MMR Sibli, AM Shahinoor, M Anisuzzaman, MN Islam, MN Zaman
17
Outcome of External and Internal Drainage of Urine after Anderson Hynes Pyeloplasty - A Comparative Study
AM Shahinoor, MMR Shibli, MAB Akan, M Anisuzzaman, MN Islam, MN Zaman, MTH Siddiqui
22
Short Term Outcome of Urethroplasty for Distal Hypospadias with Interrupted Suture Compared to continuous Suture
MMR Shibli, S Hoque, AM Shahinoor, MAB Akan, S Zabeen
26
To Evaluate the Role of Vascularised Dorsal Dartos Flap in Snodgrass Urethroplasty
M Anisuzzaman, MAB Akan, R Ara, MM Hasan, MN Zaman, MR Amin
31
Miscellaneous
Instructions to Contributors
The Editor
00
Case Reports
Fetus in Fetu: A Case Report & Review of Literatures
MAM Rahman, AA Farooq, MAH Bhuiyan, TK Chowdhury, HMA Rouf
36
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • MMR ShibliAssistant Registrar, Department of Surgery, Dhaka Dental College, Dhaka
  • S HoqueProfessor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • AM ShahinoorMedical Officer, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • MAB AkanMedical Officer, Upozilla Health Complex, Swarupkati Pirojpur
  • S ZabeenAssociate Professor, Department of Biochemistry, Anwer Khan Modern Medical College, Dhaka

Keywords

U-C Fistula Urethrocutaneous fistula

Abstract

Background: Hypospadias is one of the most common congenital anomalies, occurring approximately 1 in 200 to 1 in 300 live birth. Urethrocutaneous fistula (U-C fistula), and meatal stenosis are the most common complication of hypospadias surgery. To reduce these complications there are different surgical procedures. Snodgrass technique is now the popular technique for its low complication rate and better cosmetic outcome. Objective: To explore the short term outcome of interrupted suture compared to continuos suture in snodgrass technique urethroplasty for distal penile hypospadias. Method: It was a randomized control trial study carried out in the department of Paediatric surgery, BSMMU during the period of June 2008 to September 2009. 32 patients with distal penile hypospadias were selected according to set inclusion and exclusion criteria. Subjects who included in the study were randomly distributed in two groups. In group A odd number of patients and in group B even number of patients were included for randomization. Group A (interrupted suture) was treated as interventional group and Group B (continuous suture) as control group. Penile stent was removed on 8th and 10th POD after snodgrass technique of urethroplasty in coronal and subcoronal hypospadias respectively and observed for 4 weeks for two common complications- Urethrocutaneous fistula (U-C fistula), and meatal stenosis. Unpaired t test, Fishers exact test were used to see the level of significance. Result: In group A out of 16 subjects; 2 subjects (12.5%) develop Urethrocutaneous fistula and 1 subject (6.3%) had developed meatal stenosis. In group B out of 16 subjects 6 subjects (37.5%) had developed Urethrocutaneous fistula and 3 subjects (18.8%) developed meatal stenosis. Conclusion: Urethrocutaneous fistula (U-C fistula), and meatal stenosis are the most common complication of hypospadias repair and the occurrence of these two complications are less in interrupted suture than that of continuous suture in Snodgrass technique urethroplasty for distal hypospadias.

Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (1): 26–30

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