WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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ISSN 2457-0400

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Indexing

Abstract

COMPARISON OF INTERRUPTED AND CONTINUOUS SUTURING URETHROPLASTY IN TUBULARIZED INCISED PLATE FOR HYPOSPADIAS REPAIR, PROSPECTIVE STUDY

*Mansur Maruf, Nabeel M Al-Hamami and Nafee Saadullah Alhankawi

ABSTRACT

Background: Hypospadias is one of well-known congenital anomaly of the penis induced by abnormal or incomplete development of the urethra. The urethral meatus can be located anywhere on the ventral surface of the penis, from distal part of penis just below the glans to the perineum in more advance cases. Hypospadias prevalence seems to be increasing. There are many surgical treatment options for hypospadias correction. Defining the proper surgical techniques can decrease the complications and morbidities of the surgical procedure. Aim of the study: To compare the outcome of an interrupted- and continuous- suture urethroplasty regarding operative time and complication rates in Snodgrass tabularized incised- plate (TIP) hypospadias first layer repair. Patients and Methods: A prospective case series comparative study performed between October 2020 to October 2021, included 30 boys with sub coronal, distal shaft and midshaft hypospadias that underwent tabularized incised plate urethroplasty (age 1-10 years). those 30 boys divided into two groups 15 boys of each group, In the 1st group interrupted suturing technique performed while continuous suturing technique done in the 2nd group. Results: The mean operative time for both groups (133.6 vs 135.4 min) respectively, while regarding complication three cases develop fistula (20%) and three cases develop meatal stenosis(20%) and one case develop superficial wound infection(6.7%) in case of interrupted suturing and one case develop fistula (6.7)and two cases develop meatal stenosis(13.3%) and one case develop superficial wound infection(6.7%) in continuous suturing of the urethral plate. Conclusion: There is no significant difference between interrupted and continuous suturing regarding operative time and the occurrence of complications.

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