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373714

SIMPLE TECHNIQUE FOR STENT FIXATION IN HYPOSPADIAS REPAIR

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Last updated: 29 Dec 2024

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Abstract

Purpose: Many pediatric surgeons do not leave urethral-stents after hypospadias repair. However, many others still do. We present a simple technique for stent- fixation. 
Patients and methods: between April/2002 and April/2004, 36 hypospadias cases were treated by the author. For hypospadias proximal to mid-glans ( 29 cases,80.5% ), a stent was left behind as a routine. Fifteen boys (51.7%) had their stents draining in urinary-bags and 14 (48.2%) in their diapers. The stent was fixed by wrapping a small adhesive-plaster piece (2x1 cm) around the stent, just distal to the meatus , leaving a small mesentery of 10 mm. A stitch of non-absorbable suture was passed through this mesentery, without transfixing the stent, then fasten the two suture ends together lightly around the plaster. The two suture ends were tied to the glanular tension-stitch applied at the start of the procedure. Then normal dressing was done. 
Results: The cases came to the follow-up with no problems related to stent- fixation . No accidental stent- migration was observed. Two cases (6.8%) had partial stent-blockage at the bladder-end. 
Conclusion: This simple technique for stent- fixation is easy, cheap and suitable for any type of dressing. 

DOI

10.21608/ejsur.2005.373714

Keywords

hypospadias, urethral stent

Authors

First Name

A

Last Name

Khairi

MiddleName

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Affiliation

Pediatric Surgery Unit, Department of Surgery, Alexandria Faculty of Medicine, Egypt

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Volume

24

Article Issue

1

Related Issue

49797

Issue Date

2005-01-01

Receive Date

2024-08-13

Publish Date

2005-01-01

Page Start

42

Page End

45

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_373714.html

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https://ejsur.journals.ekb.eg/service?article_code=373714

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373,714

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

SIMPLE TECHNIQUE FOR STENT FIXATION IN HYPOSPADIAS REPAIR

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Article

Created At

21 Dec 2024