Distal Hipospadias Olgularında İntraoperatif Sistofiks Takılmasının Post-Operatif Komplikasyonlar Üzerine Olan Etkisi

Amaç: Tubularize insize plak üretroplasti (TIPU) ile yapılan distal Hipospadias onarımlarında suprapubik diversiyonun post operatif komplikasyonlar üzerine olan etkisini incelemek. Gereç ve Yöntem: Van Bölge Eğitim ve Araştırma hastanesi üroloji kliniğine distal hipospadias nedeniyle başvurup tubularize insize plak üretroplasti (TIPU) yöntemi ile tedavi edilen 23 hasta retrospektif olarak incelenerek sistofiksi olan ve olmayanlar olarak 2 gruba ayrılmış ve post-operatif komplikasyonlar dökümente edilerek istatiksel olarak kıyaslanmıştır. Bulgular: Sadece üretral stent takılan 11 hasta Grup I’i oluştururken, anterior üretral stent ile birlikte sistofiks takılan 12 hasta Grup II’yi oluşturdu. Yapılan istatiksel analizde suprapubik diversiyonu olan grupta daha az erken ve geç post-operatif komplikasyonlar gözükmüştür. Sonuç: TIPU ile tedavi edilen distal hipospadias olgularında suprapubik diversiyonun sadece üretral stente göre daha az komplikasyon oranları ve daha fazla hasta komforu açısından tercih edilebilecek bir yöntem olduğunu düşünüyoruz.

Anahtar Kelimeler:

Hipospadias, suprapubik diversiyon, sistofix, komplikasyon

Effect Of Intraoperative Cystofix Device on Postoperative Complications In Distal Hypospadias Cases

Objective: To investigate the effect of suprapubic diversion on postoperative complications in distal hypospadias repair performed with tubularized incised plate urethroplasty (TIPU). Materials and Methods: Twenty-three patients with distal hypospadias who were treated with TIPU in Van Training and Research Hospital were evaluated retrospectively. Patients were divided into two groups as follows; Group I consisted only stented patients while Group II was consisted of patients with both anterior urethral stent and suprapubic diversion. Post-operative complications were documented and statistically compared thereafter. Results: Eleven patients who had only urethral stenting constituted Group I, while 12 patients with anterior urethral stent and cystofix were group II. Statistical analysis revealed less early and late post-operative complications in the suprapubic diversion group compared to only stented group. Conclusion: We think that suprapubic diversion in distal hypospadias cases treated with TIPU is a method that can be preferred in terms of less complication rates and more patient comfort than urethral stent alone.

Keywords:

Hypospadias, Suprapubic diversion, cystofix, complication,

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