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Day-care hypospadias surgery: Single surgeon experience

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Author(s): Chandrasekharam V.V.S.S

Journal: Journal of Indian Association of Pediatric Surgeons
ISSN 0971-9261

Volume: 12;
Issue: 4;
Start page: 206;
Date: 2007;
Original page

Keywords: Diaper | hospital | hypospadias | stent

ABSTRACT
Aim: To report the results of the early discharge of children after hypospadias repair with an indwelling catheter. Materials and Methods: To facilitate early the discharge of children after hypospadias repair, the author adopted the technique of draining the indwelling urinary catheter into diapers in children undergoing this operation. Home catheter care was taught to the mother; the dressings and catheters were subsequently managed in the outpatient clinic. Results: Over a 2-year period, 43 children were managed by this technique and were sent home within 24-48 h after the operation with an indwelling catheter. Minor problems requiring outpatient visits to the surgeon occurred in nine (20%) children after discharge from the hospital. All the nine children were successfully managed as outpatients and no child required rehospitalisation. The catheter remained in position for 5 days in all the children. The overall results were satisfactory with an acceptable (7%) fistula rate. Conclusions: It is possible to reduce the duration of the hospital stay of children after hypospadias repair without compromising on the final results.
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