Outcomes of the Complications Between Early and Late Stent Removal in Hypospadias Repair

Abstract

Objective: To compare the postoperative complications between early (5th postoperative day) and late (10th postoperative day) stent removal following Snodgrass repair for distal penile hypospadias.

Study Design: Randomized controlled trial study
Place and Duration of Study: This study was conducted at the Department of Pediatric urology, Children Hospital Faisalabad from 01 November-2024 to July 2025.

Methods: This trial was done after the approval by the ethical committee of the institutional review Board (IRB). A total of 86 treatment-naïve patients of distal penile hypospadias were included and randomly segregated into two groups. Where group A early stent removal considered at 5th day While late stent removal counted at 10th day was Group B. Standard Snodgrass repair was performed in all patients by the same surgical team. Complications like i.e. urethrocutaneous fistula (UCF) and wound dehiscence were assessed at 2 weeks, 1 month, and 3 months postoperatively. Data analysis was done with the help of SPSS version 26, and p-values <0.05 were considered significant.

Results: Patients were segregated in two groups, each group consists of 43 patients. Group-A removed catheter at 5th day of surgery, while in group-B removed catheter at 10th day of surgery. Bleeding from wound site found in group-A (8.14%) 07 patients, while in group-B 05 (5.81%). Wound infection in group-A (6.98%) 06 patients, while in group-B 07 (8.14%). UTI in group-A (2.33%) 02 patients, while in group-B 04 (4.65%). Urinary retention in group-A (6.98%) 06 patients, while in group-B 05 (5.81%). Urinary Extravasation in group-A (10.47%) 09 patients, while in group-B 12 (13.95%).
To access the late compilations twenty seven patients (31.47%) were uneventful in group-A while twenty nine patients (33.72%) in group-B were remained uneventful. UC Fistula in group-A (10.47%) 09 patients, while in
group-B 08 (9.30%). Wound Dehiscence in group-A (8.14%) 07 patients, while in group-B 06 (6.98%).

Conclusion: Early stent removal following Snodgrass repair may potentially reduce postoperative morbidity and hospital stay without increasing complication rates.