Comparative Analysis Of Continuous And Interrupted Suturing Techniques In Urethroplasty For Hypospadias
Objective: Hypospadias is one of the most frequent congenital anomalies in males that affects penile development and hence optimal urine and semen flow. Snodgrass Tubularized Incised Plate Urethroplasty (TIP) is a widely employed technique for hypospadias, done in a single stage. While both continu...
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Rawalpindi Medical University
2025-01-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2647 |
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| author | Kamran Aziz Asra Aleem Safdar Saeed Muhammad Rashid Jamal Ijaz Hussian Shah Sana Shaukat Siddiqui |
| author_facet | Kamran Aziz Asra Aleem Safdar Saeed Muhammad Rashid Jamal Ijaz Hussian Shah Sana Shaukat Siddiqui |
| author_sort | Kamran Aziz |
| collection | DOAJ |
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Objective: Hypospadias is one of the most frequent congenital anomalies in males that affects penile development and hence optimal urine and semen flow. Snodgrass Tubularized Incised Plate Urethroplasty (TIP) is a widely employed technique for hypospadias, done in a single stage. While both continuous and interrupted sutures are options for TIP procedures, the best technique for minimizing complications is still under debate.
Methods: A quasi-experimental study was carried out in the Urology department of DG Khan Medical College and Hospital from June 2022 to June 2023 that included 69 boys divided into 2 groups based on suturing technique: 37 boys underwent continuous-suture Snodgrass TIP urethroplasty and 32 boys underwent interrupted-suture Snodgrass TIP urethroplasty. The ethical protocol was followed throughout the period.
Results: The mean age was 9.12 years, and we found that there was a statistically significant association between the type of complication and the suturing technique (p=0.117). Meatal stenosis (MS), urethral stricture, and urethrocutaneous fistula (UF) did not exhibit significant differences between groups (p-values > 0.05). Compared to patients with complications (53.6%), those without complications had a significantly higher chance of having a healthy single urine stream (100%).
Conclusion: Our findings suggest that interrupted suturing in TIPU may be associated with fewer complications and a higher rate of single urine stream compared to the continuous suturing technique.
Keywords: Hypospadias, Urethra, postoperative complications, Suturing Techniques.
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| format | Article |
| id | doaj-art-9cbfe09413bb4f12b96eacf7b8457f52 |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Rawalpindi Medical University |
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| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-9cbfe09413bb4f12b96eacf7b8457f522025-02-06T08:34:01ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702025-01-0128410.37939/jrmc.v28i4.2647Comparative Analysis Of Continuous And Interrupted Suturing Techniques In Urethroplasty For Hypospadias Kamran Aziz0Asra Aleem1Safdar Saeed2Muhammad Rashid Jamal3Ijaz Hussian Shah4Sana Shaukat Siddiqui5Assistant Professor, DG Khan Medical College and HospitalAssistant Professor, DG Khan Medical College and HospitalConsultant Urologist, DHQ Hospital Tauns Shareef, DG KhanSenior Registrar, Allama Iqbal Teaching Hospital, DG KhanProfessor, Plastic Surgery Department and Burn Unit, Sheikh Zayed Hospital, Rahim Yar KhanAssistant Professor, Community Medicine Department, Shiekh Zayed Medical College, Rahim Yar Khan Objective: Hypospadias is one of the most frequent congenital anomalies in males that affects penile development and hence optimal urine and semen flow. Snodgrass Tubularized Incised Plate Urethroplasty (TIP) is a widely employed technique for hypospadias, done in a single stage. While both continuous and interrupted sutures are options for TIP procedures, the best technique for minimizing complications is still under debate. Methods: A quasi-experimental study was carried out in the Urology department of DG Khan Medical College and Hospital from June 2022 to June 2023 that included 69 boys divided into 2 groups based on suturing technique: 37 boys underwent continuous-suture Snodgrass TIP urethroplasty and 32 boys underwent interrupted-suture Snodgrass TIP urethroplasty. The ethical protocol was followed throughout the period. Results: The mean age was 9.12 years, and we found that there was a statistically significant association between the type of complication and the suturing technique (p=0.117). Meatal stenosis (MS), urethral stricture, and urethrocutaneous fistula (UF) did not exhibit significant differences between groups (p-values > 0.05). Compared to patients with complications (53.6%), those without complications had a significantly higher chance of having a healthy single urine stream (100%). Conclusion: Our findings suggest that interrupted suturing in TIPU may be associated with fewer complications and a higher rate of single urine stream compared to the continuous suturing technique. Keywords: Hypospadias, Urethra, postoperative complications, Suturing Techniques. https://www.journalrmc.com/index.php/JRMC/article/view/2647hypospadiasurethroplastyPakistanDera Ghazi khaninterrupted suturingcontinuous suturing |
| spellingShingle | Kamran Aziz Asra Aleem Safdar Saeed Muhammad Rashid Jamal Ijaz Hussian Shah Sana Shaukat Siddiqui Comparative Analysis Of Continuous And Interrupted Suturing Techniques In Urethroplasty For Hypospadias Journal of Rawalpindi Medical College hypospadias urethroplasty Pakistan Dera Ghazi khan interrupted suturing continuous suturing |
| title | Comparative Analysis Of Continuous And Interrupted Suturing Techniques In Urethroplasty For Hypospadias |
| title_full | Comparative Analysis Of Continuous And Interrupted Suturing Techniques In Urethroplasty For Hypospadias |
| title_fullStr | Comparative Analysis Of Continuous And Interrupted Suturing Techniques In Urethroplasty For Hypospadias |
| title_full_unstemmed | Comparative Analysis Of Continuous And Interrupted Suturing Techniques In Urethroplasty For Hypospadias |
| title_short | Comparative Analysis Of Continuous And Interrupted Suturing Techniques In Urethroplasty For Hypospadias |
| title_sort | comparative analysis of continuous and interrupted suturing techniques in urethroplasty for hypospadias |
| topic | hypospadias urethroplasty Pakistan Dera Ghazi khan interrupted suturing continuous suturing |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2647 |
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