Anterior and Mid-Penile Hypospadias Repair with TIP Technique—Is It Possible with 20-Hour Catheterization?
Background/Objectives: Several surgical procedures have been proposed for the treatment of hypospadias, a common and heterogeneous congenital abnormality in males. Most surgeons utilize either a urethral stent or bladder catheter for 2–14 days as a postoperative urine diversion method depending on t...
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MDPI AG
2024-11-01
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| Online Access: | https://www.mdpi.com/2079-9721/12/11/279 |
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| author | Vasileios Tatanis Paraskevi Katsakiori Theodoros Spinos Angelis Peteinaris Spyridon Polyzonis Theofanis Vrettos Panagiotis Kallidonis Evangelos Liatsikos George Zoupanos |
| author_facet | Vasileios Tatanis Paraskevi Katsakiori Theodoros Spinos Angelis Peteinaris Spyridon Polyzonis Theofanis Vrettos Panagiotis Kallidonis Evangelos Liatsikos George Zoupanos |
| author_sort | Vasileios Tatanis |
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| description | Background/Objectives: Several surgical procedures have been proposed for the treatment of hypospadias, a common and heterogeneous congenital abnormality in males. Most surgeons utilize either a urethral stent or bladder catheter for 2–14 days as a postoperative urine diversion method depending on the severity of each case and the surgeon’s preferences. The aim of the present study was to evaluate the feasibility of anterior and mid-penile hypospadias repair while placing the urethral catheter for only 20 h. Methods: A single-centre retrospective study was conducted, including all patients who underwent anterior or penile hypospadias repair from January 2012 to January 2023. All operations were performed based on the Tubularized Incised Plate (TIP) Urethroplasty. At the end of the operation, a 6 Fr 100% silicon catheter was stabilized. The catheter was removed 20 h postoperatively, and all patients were discharged on the first postoperative day. The primary endpoint of the study was the complication rate. Results: In total, 104 patients were enrolled. Eighty (76.9%) patients presented with distal penile hypospadias, while 24 patients (23.1%) had mid-penile hypospadias. The mean age at the operation was 20.8 ± 12.4 months, while the mean operative time was 114.2 ± 28.7 min. All the operations were successfully completed. During the follow-up period (mean duration 101.1 ± 44.8 months), complications were recorded in 16.3% of the patients. Conclusions: The application of 20-h catheterization seems to be an effective alternative with outcomes comparable to other conventional drainage approaches, as it reduces the discomfort of the patients without increased risk of complications. |
| format | Article |
| id | doaj-art-cdce8322ac3c4490a6b86ccd76b4e96c |
| institution | OA Journals |
| issn | 2079-9721 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diseases |
| spelling | doaj-art-cdce8322ac3c4490a6b86ccd76b4e96c2025-08-20T02:08:14ZengMDPI AGDiseases2079-97212024-11-01121127910.3390/diseases12110279Anterior and Mid-Penile Hypospadias Repair with TIP Technique—Is It Possible with 20-Hour Catheterization?Vasileios Tatanis0Paraskevi Katsakiori1Theodoros Spinos2Angelis Peteinaris3Spyridon Polyzonis4Theofanis Vrettos5Panagiotis Kallidonis6Evangelos Liatsikos7George Zoupanos8Department of Urology, University of Patras, 26504 Patras, GreeceDepartment of Urology, University of Patras, 26504 Patras, GreeceDepartment of Urology, University of Patras, 26504 Patras, GreeceDepartment of Urology, University of Patras, 26504 Patras, GreeceDepartment of Urology, University of Patras, 26504 Patras, GreeceDepartment of Anesthesiology and ICU, University of Patras, 26504 Patras, GreeceDepartment of Urology, University of Patras, 26504 Patras, GreeceDepartment of Urology, University of Patras, 26504 Patras, GreeceDepartment of Pediatric Urology, Medical Center of Athens, 15125 Athens, GreeceBackground/Objectives: Several surgical procedures have been proposed for the treatment of hypospadias, a common and heterogeneous congenital abnormality in males. Most surgeons utilize either a urethral stent or bladder catheter for 2–14 days as a postoperative urine diversion method depending on the severity of each case and the surgeon’s preferences. The aim of the present study was to evaluate the feasibility of anterior and mid-penile hypospadias repair while placing the urethral catheter for only 20 h. Methods: A single-centre retrospective study was conducted, including all patients who underwent anterior or penile hypospadias repair from January 2012 to January 2023. All operations were performed based on the Tubularized Incised Plate (TIP) Urethroplasty. At the end of the operation, a 6 Fr 100% silicon catheter was stabilized. The catheter was removed 20 h postoperatively, and all patients were discharged on the first postoperative day. The primary endpoint of the study was the complication rate. Results: In total, 104 patients were enrolled. Eighty (76.9%) patients presented with distal penile hypospadias, while 24 patients (23.1%) had mid-penile hypospadias. The mean age at the operation was 20.8 ± 12.4 months, while the mean operative time was 114.2 ± 28.7 min. All the operations were successfully completed. During the follow-up period (mean duration 101.1 ± 44.8 months), complications were recorded in 16.3% of the patients. Conclusions: The application of 20-h catheterization seems to be an effective alternative with outcomes comparable to other conventional drainage approaches, as it reduces the discomfort of the patients without increased risk of complications.https://www.mdpi.com/2079-9721/12/11/279hypospadiashypospadias repairTIP urethroplasty20-h catheterizationearly catheter removal |
| spellingShingle | Vasileios Tatanis Paraskevi Katsakiori Theodoros Spinos Angelis Peteinaris Spyridon Polyzonis Theofanis Vrettos Panagiotis Kallidonis Evangelos Liatsikos George Zoupanos Anterior and Mid-Penile Hypospadias Repair with TIP Technique—Is It Possible with 20-Hour Catheterization? Diseases hypospadias hypospadias repair TIP urethroplasty 20-h catheterization early catheter removal |
| title | Anterior and Mid-Penile Hypospadias Repair with TIP Technique—Is It Possible with 20-Hour Catheterization? |
| title_full | Anterior and Mid-Penile Hypospadias Repair with TIP Technique—Is It Possible with 20-Hour Catheterization? |
| title_fullStr | Anterior and Mid-Penile Hypospadias Repair with TIP Technique—Is It Possible with 20-Hour Catheterization? |
| title_full_unstemmed | Anterior and Mid-Penile Hypospadias Repair with TIP Technique—Is It Possible with 20-Hour Catheterization? |
| title_short | Anterior and Mid-Penile Hypospadias Repair with TIP Technique—Is It Possible with 20-Hour Catheterization? |
| title_sort | anterior and mid penile hypospadias repair with tip technique is it possible with 20 hour catheterization |
| topic | hypospadias hypospadias repair TIP urethroplasty 20-h catheterization early catheter removal |
| url | https://www.mdpi.com/2079-9721/12/11/279 |
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