Mathieu repair in distal penile hypospadias with or without stent

ABSTRACT

To compare the outcome of two techniques for repair of distal penile hypospadias Mathieus repair with and without stent. Prospective observational descriptive study. Department of Paediatric Surgery, Mayo Hospital, Lahore from September 2000 to September 2002. Sixty boys were randomly assigned the two groups of thirty boys each. Detailed scrutiny of procedure done and analyses of the clinical outcome made prospectively. A total of sixty patients were treated in two separate groups. All the boys had Mathieus repair done for distal hypospadias. In group A stent/ indwelling catheter was used for 7-8 days while in group B no stent was used. Stratification was done using Chi square test. Median age was 4 years and most of them belonged to low socioeconomic class [61.6%]. A high percentage [48.3% were born to mothers of age ranging from 30-40 years. Sixteen [26.66%] patients had a family history of hypospadias. Only twelve mothers [2 0%] gave a positive history of drug intake in first trimester. Sixteen [26.66%] patients had associated anomalies of undescended testis / inguinal hernia. Twenty four [40%] patients were brought because of the abnormal appearance of the childs penis while their stream [21.66%] and dysuria [25%] were presenting complaints of two other major groups. Mathieus repair was done in all cases with group A. Thirty boys [50%] having a stent post operatively and the group B thirty boys [50%] were without stent. Total complications rate is 46.66% with group a showing eight cases [26.66%] and group B having twenty [66.66%] cases with compliec. Major complication in group B was urinary retention in eleven cases [36.66%] while no patient had retention in group A. overall twenty six [86.66%] in group A and twenty one [70%] in group B showed satisfactory results. Mathieus repair without stent has been advantage of shorter hospital stay but a fair proportion of patients [36.66%] having urinary retention calls for further studies on a larger scale