OPEN-ENDED URETHRAL CATHETERS REDUCE CATHETER OBSTRUCTION AFTER HYPOSPADIAS REPAIR

Open-ended urethral catheters reduce catheter obstruction after hypospadias repair

Open-ended urethral catheters reduce catheter obstruction after hypospadias repair

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BackgroundsUrethral catheter obstruction is a notable issue that pediatric patients with hypospadias may encounter in the early postoperative period.This retrospective study aims to assess the efficacy of open-ended urethral catheters with 2 side holes in mitigating catheter obstruction in pediatric patients following hypospadias ADVANCED B COMPLEX repair.Materials and methodsThe clinical data of pediatric patients who underwent hypospadias repair surgery from January 2021 to October 2023 were retrospectively collected.

The patients were divided into 2 groups.Those who used standard Foley catheters were referred to as Group A, while those who used modified open-ended catheters were referred to as Group B.The primary outcome was the incidence of catheter obstruction within 7 days postoperatively.

ResultsA total of 297 patients Pond Accessories were included in this study, with 142 patients in Group A and 155 patients in Group B.In Group A, there were 12 cases of catheter obstruction, with 10 cases resolved through irrigation and 2 cases requiring additional catheters insertion by suprapubic bladder punctures.In Group B, only 4 cases experienced catheter obstruction, which were effectively and easily resolved through maneuver irrigation.

The incidence of catheter obstruction in Group B was statistically significantly lower than that in Group A (2.6% vs.8.

5%, p < 0.05).ConclusionIn pediatric hypospadias patients who underwent surgical repair, the use of open-ended urethral catheters with 2 side holes significantly diminishes the incidence of postoperative catheter obstruction.

This simple technique is worthy of promotion.

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