Comparative Study to Detect Optimum Time for Removal of Urinary Catheter after Hypospadias Repair Surgery

Abstract
Background: Hypospadias is the most common congenital penile anomaly occurring in 1/300 live births. Various surgery techniques are used in repair of hypospadias. Infant and children with hypospadias are usually admitted to emergency services by their worried parents for the first time. TIP urethroplasty is widely used in the repair of hypospadias, but the use of urethral catheters is still a matter for discussion
Aim of Work: To determine the optimum time for removal of the urinary catheter after hypospadias repair surgery by comparing three different groups, early (within 24hrs), mod-erate (7-10 days), late (three weeks) removal.
Methods: This randomized controlled study was conducted on 120 patients undergoing hypospadias repair who were divided into three different groups each group comprised 40 patients, the first group catheter was removed within 24hrs, the second group within 7-10 days and the third group within three weeks.
Results: The three groups were matched as regard age, type of hypospadias, associated anomalie, operative time and hospital stay were insignificantly different between three groups, success rate was higher in group B, Complication higher in group C.
Conclusion: Time of removal of the catheter can affect patient discomfort and improve the familiar compliance without increasing acute urinary retention episodes and per-sistent fistula rate, after TIPU for hypospadias.