None listed
Conditions
Brief summary
• To assess the impact of early catheter removal on postoperative complications which include early complications e.g wound infection, urinary tract infection, bladder spasm, urinary retention and late complications most importantly urethrocutaneous fistula, wound dehiscence, meatal stenosis and urethral stricture. • To evaluate the effect of catheter timing on hospital stay duration. • To compare patient comfort and satisfaction between the two groups. HYPOTHESIS: Early Bladder Catheter removal in patients undergoing hypospadias repair will result in improved postoperative outcomes, including reduced rates of urinary tract infections, lower incidence of urethrocutaneous fistula formation, shorter hospital stays, and greater patient comfort compared to late catheter removal
Interventions
The purpose of this study was to assess how the timing of urinary bladder catheter removal following hypospadias surgery affected the incidence of complications as well as the overall outcome of the procedure. All patients will undergo tubularized incised plate urethroplasty (TIPU), the technique previously described by Snodgrass et al. TIPU includes making the incision and degloving the penis, incising the urethral plate and tubularizing it finally forming the neomeatus. The bladder cathter wi
The purpose of this study was to assess how the timing of urinary bladder catheter removal following hypospadias surgery affected the incidence of complications as well as the overall outcome of the procedure. All patients will undergo tubularized incised plate urethroplasty (TIPU), the technique previously described by Snodgrass et al. TIPU includes making the incision and degloving the penis, incising the urethral plate and tubularizing it finally forming the neomeatus. The bladder cathter will be inserted intraoperatively under anesthesia. Patients will be randomly allocated into 2 groups, Group A and Group B, by computer generated numbers. The catheter will be removed by the duty doctor. The adherence to intervention will be assessed by the review of medical records. Group A: Early catheter removal (less than or equal to 5 days post-op)
Sponsors
Dr Zuha Zafar
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
Male
Age
6 Months to 12 Years
Healthy volunteers
No
Inclusion criteria
• Male patients aged 6 months to 12 years undergoing hypospadias repair. • Patients undergoing tubularized incised plate the technique previously described by Snodgrass et al
Exclusion criteria
• History of prior urethral or bladder surgeries, including previous hypospadias repair. • Presence of associated genitourinary anomalies (e.g., bladder exstrophy, severe chordee). • Active urinary tract infection or skin infection at the time of surgery. • Complicated Cases: Patients requiring additional surgical interventions (e.g., urethral diversion, bladder augmentation). • Inability to adhere to follow-up appointments or postoperative care instructions. • Patients whose parents or guardians withdraw consent at any point during the study.
Outcome results
None listed