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S12-20
(P)
COMPARISON BETWEEN SUBEPITHELIAL CONTINUOUS SUTURING TECHIQUE
AND INVERTING CONTINUOUS SUTURING (CONNEL TECHNIQUE) IN
HYPOSPADIAS REPAIR.
Jasim ABDOALHASAN
Kufa University, Medical College, Urology, Najaf, IRAQ
PURPOSE
Hypospadias is common congenital anomalies of the male affecting 1 in 300. Urethral meatus lies on the ventral surface
of penis proximal to its normal position usually associated with defective development of ventral prepuce and various
degrees of chordee . Objective of the study was to compare between subepithelial continuous suturing techique and
inverting continuous suturing (connel technique) in hypospadias repair.
MATERIAL AND METHODS
A prospective study of 60 children with penile hypospadias was treated by TIP between April 2012 and August 2014.
Mean patient age at the time of treatment was 3.6 years (range 1 to 10 years). The patients were divided into two
groups according to the method of uretheral tubularization suturing. Group 1 (26 patients) had urethral tubularization
using continuous subepithelial suturing and group 2 (34 patients) using continuous inverting sutures (Connell
technique). Polyglycolic acid sutures 6/0 used for suturing. Interposition barrier layer of dartose were used for all
children in both groups. The patients were followed postoperatively for 6 to 24 months (mean 10 months).
RESULTS
9 (34.6%) patients had complications in group 1 (7 had urethrocutaneous fistula and 2 had meatal stenosis) while 4
(11.7%) had complications in group 2 (2 had urethrocutaneous fistula and 2 had meatal stenosis)
CONCLUSIONS
Urethral tubularization using continuous inverting sutures (Connell technique) reduce the incidence of urethrocutaneous
fistula formation.