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S12-18
(P)
THE USE OF A MID-URETHRAL STENT (CONTINENT) FOR HYPOSPADIAS SURGERY
IN TOILET TRAINED CHILDREN
Abed Elhalim DARAWSHA, Amos NEHEMAN and Amir AKDAM
Meir Medical Center KFAR - SABA, Paediatric urology, Kfar-Saba, ISRAEL
PURPOSE
In this study we report our experience using a mid-urethral continent stent for hypospadias repair in toilet treained
children
MATERIAL AND METHODS
Between 2009-214, 200 children underwent hypospadias surgery in our hospital. The study group included 49 (25%)
boys who were toilet trained at surgery. The medical records of these boys were retrospectively reviewed. The parents
were given the option between using a mid-urethral (continent) stent (N= 10) or incontinent drainage (N=39) .
All children were seen one week after surgery to extract the drainage , one and 6 month post operatively.
Early and late complications in both groups were documented
RESULTS
Average age was 7.3 years (2.5-14.8) in the midurethral stent group and 4.5 years (2.5-16.5) in the incontinent
drainage group.
Fistula formed only in the incontinent drainage group 6/39 (15%) (P=0.57).
Meatal stenosis occurred in 2 (20%) and 6 (15%) and the need for re-do surgery for cosmetic reason was 0 and 5
(13%) in the midurethral and incontinent group , respectively.
In the midurethral group 90% (9/10) voided spontaneously (through or around the stent) and returned to their normal
daily activity . There was one case of urinary retention necessitating removal of the mid-urethral stent and one case of
stent dislodgement.
CONCLUSIONS
Regardless of the limitation of a small study group it seems that the use of mid-urethral stent does not render the child
to higher rates of early or late complications.
We routinely offer mid-urethral continent stents to all our toilet trained children undergoing hypospadias repair