Hypospadias, Urinary Diversion
Conditions
Brief summary
This study aims to conduct a head-to-head comparison to determine the optimal method and duration of urinary diversion following distal penile hypospadias repair. Specifically, it will evaluate whether urethral diversion alone or a combination of urethral and suprapubic diversions provides better outcomes, and whether a postoperative duration of one week or two weeks is more effective.
Interventions
PROCEDUREApplication of urethral catheter alone for 1 week.
Application of urethral catheter alone for 1 week.
PROCEDUREApplication of urethral catheter alone for 2 weeks.
Application of urethral catheter alone for 2 weeks.
PROCEDUREApplication of urethral stent and suprapubic catheter for 1 week
Application of urethral stent and suprapubic catheter for 1 week
PROCEDUREApplication of urethral stent and suprapubic catheter for 2 weeks
Application of urethral stent and suprapubic catheter for 2 weeks
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
MALE
Age
6 Months to 18 Years
Healthy volunteers
No
Inclusion criteria
* Patients with Distal Hypospadias (Glanular, Coronal, Subcoronal) * Patients have Adequate ventral penile skin mobility
Exclusion criteria
* Patients with Crippled hypospadias. * Patients with Proximal hypospadias. * Patients with Hypoplastic urethra. * Patients with Neurogenic bladder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decreased rate of fistula occurrence | 1 month |
Countries
Egypt
Outcome results
None listed