Does glanular fixation suture affect surgical outcomes in distal hypospadias repair?

Aykut Akinci; Muammer Babayiğit; Murat Can Karaburun; Araz Musaev; Tarkan Soygür; Berk Burgu

Article Details

Does glanular fixation suture affect surgical outcomes in distal hypospadias repair?

Authors:

Aykut Akinci | Muammer Babayiğit | Murat Can Karaburun | Araz Musaev | Tarkan Soygür | Berk Burgu

Publisher:

Pamukkale University

Main Topics:

Üroloji

Journal:

Pamukkale Tıp Dergisi Vol.18 Issue 4, pp.803-809

Document Type:

Article

Publication Date:

1/2025

Document Language:

English

Document ID (Org No.):

2001341006

pISSN:

1308-0865

Keywords:

Abstract:

 Purpose: This study aimed to evaluate the impact of glanular fixation suture on surgical outcomes in children undergoing distal hypospadias repair. Materials and methods: We retrospectively reviewed the data of 322 patients who underwent distal hypospadias repair in our clinic between January 2014 and December 2023. Patients operated on after January 2019, when the glanular fixation technique was adopted, formed the study group; those operated on before this date constituted the control group. All procedures were performed using the TIPU tubularized incised plate urethroplasty technique by the same pediatric urology team. Preoperative Glans-Meatus-Shaft GMS scores and six-month postoperative HOSE scores were used for comparison. Results: There was no statistically significant difference between the two groups regarding HOSE scores, fistula formation, or wound dehiscence p0.05. However, unintentional early dressing removal was significantly lower in the study group 2.4 compared to the control group 11.4 p0.02. Conclusion: While the application of a glanular fixation suture did not significantly affect overall surgical outcomes in distal hypospadias repair, it was associated with improved postoperative dressing adherence. This technique may offer an advantage in clinical protocols where dressing stability is crucial for optimal wound healing. Further prospective, randomized studies are needed to validate these findings.

 Purpose: This study aimed to evaluate the impact of glanular fixation suture on surgical outcomes in children undergoing distal hypospadias repair. Materials and methods: We retrospectively reviewed the data of 322 patients who underwent distal hypospadias repair in our clinic between January 2014 and December 2023. Patients operated on after January 2019, when the glanular fixation technique was adopted, formed the study group; those operated on before this date constituted the control group. All procedures were performed using the TIPU tubularized incised plate urethroplasty technique by the same pediatric urology team. Preoperative Glans-Meatus-Shaft GMS scores and six-month postoperative HOSE scores were used for comparison. Results: There was no statistically significant difference between the two groups regarding HOSE scores, fistula formation, or wound dehiscence p0.05. However, unintentional early dressing removal was significantly lower in the study group 2.4 compared to the control group 11.4 p0.02. Conclusion: While the application of a glanular fixation suture did not significantly affect overall surgical outcomes in distal hypospadias repair, it was associated with improved postoperative dressing adherence. This technique may offer an advantage in clinical protocols where dressing stability is crucial for optimal wound healing. Further prospective, randomized studies are needed to validate these findings.

 Purpose: This study aimed to evaluate the impact of glanular fixation suture on surgical outcomes in children undergoing distal hypospadias repair. Materials and methods: We retrospectively reviewed the data of 322 patients who underwent distal hypospadias repair in our clinic between January 2014 and December 2023. Patients operated on after January 2019, when the glanular fixation technique was adopted, formed the study group; those operated on before this date constituted the control group. All procedures were performed using the TIPU tubularized incised plate urethroplasty technique by the same pediatric urology team. Preoperative Glans-Meatus-Shaft GMS scores and six-month postoperative HOSE scores were used for comparison. Results: There was no statistically significant difference between the two groups regarding HOSE scores, fistula formation, or wound dehiscence p0.05. However, unintentional early dressing removal was significantly lower in the study group 2.4 compared to the control group 11.4 p0.02. Conclusion: While the application of a glanular fixation suture did not significantly affect overall surgical outcomes in distal hypospadias repair, it was associated with improved postoperative dressing adherence. This technique may offer an advantage in clinical protocols where dressing stability is crucial for optimal wound healing. Further prospective, randomized studies are needed to validate these findings.

 Amaç: Bu çalışmanın amacı, distal hipospadias onarımı yapılan çocuk hastalarda glansa uygulanan fiksasyon sütürünün cerrahi başarı ve komplikasyon oranları üzerindeki etkisini değerlendirmektir. Gereç ve yöntem: Ocak 2014 ile Aralık 2023 tarihleri arasında kliniğimizde distal hipospadias onarımı yapılan 322 hastanın verileri retrospektif olarak incelendi. Ocak 2019 sonrası opere edilen ve glanüler fiksasyon sütürü uygulanan hastalar çalışma grubunu, öncesinde opere edilen ve fiksasyon yapılmayan hastalar kontrol grubunu oluşturdu. Tüm hastalar aynı cerrahi ekip tarafından TIPU tubularized incised plate urethroplasty tekniği ile opere edildi. Glans-meatus-shaft GMS skoru ve HOSE değerlendirmesi kullanılarak gruplar karşılaştırıldı. Bulgular: İki grup arasında HOSE skorları, fistül, dehisens ve diğer cerrahi komplikasyon oranları açısından anlamlı fark saptanmadı p0,05. Ancak plansız erken pansuman çıkması çalışma grubunda anlamlı şekilde daha az gözlendi p0,02. Sonuç: Glansa uygulanan fiksasyon sütürü, distal hipospadias cerrahisinde genel başarı oranlarını etkilememekle birlikte, postoperatif dönemde pansumanın stabilitesini artırarak iyileşmeyi dolaylı yoldan destekleyebilir. Bu teknik, pansuman bütünlüğünün önemli olduğu klinik protokollerde yararlı olabilir. Bulguların doğrulanması için ileriye dönük randomize çalışmalara ihtiyaç vardır.

Article Details

Does glanular fixation suture affect surgical outcomes in distal hypospadias repair?

Authors:

Aykut Akinci | Muammer Babayiğit | Murat Can Karaburun | Araz Musaev | Tarkan Soygür | Berk Burgu

Publisher:

Pamukkale University

Main Topics:

Üroloji

Journal:

Pamukkale Tıp Dergisi Vol.18 Issue 4, pp.803-809

Document Type:

Article

Publication Date:

1/2025

Document Language:

English

Document ID (Org No.):

2001341006

pISSN:

1308-0865

Hypospadias

glanular fixation

dressing stability

HOSE score

postoperative complicationsHipospadias

glans fiksasyonu

pansuman stabilitesi

HOSE skoru

postoperatif komplikasyonlar

Issues

Article Details

Authors: Aykut Akinci | Muammer Babayiğit | Murat Can Karaburun | Araz Musaev | Tarkan Soygür | Berk Burgu

Publisher: Pamukkale University

Main Topics: Üroloji

Journal: Pamukkale Tıp Dergisi Vol.18 Issue 4, pp.803-809

Document Type: Article

Publication Date: 1/2025

Document Language: English

Document ID (Org No.): 2001341006

pISSN: 1308-0865

Issues

Authors:

Aykut Akinci | Muammer Babayiğit | Murat Can Karaburun | Araz Musaev | Tarkan Soygür | Berk Burgu

Publisher:

Pamukkale University

Main Topics:

Üroloji

Journal:

Pamukkale Tıp Dergisi Vol.18 Issue 4, pp.803-809

Document Type:

Article

Publication Date:

1/2025

Document Language:

English

Document ID (Org No.):

2001341006

pISSN:

1308-0865