Ali Iqbal, Muhammad Hassan Saeed, Waqas Jafar
Background: The aim of this study was to evaluate the early removal of urethral stent following TIP Snodgrass repair of hypospadias can minimize postoperative complications by using this procedure was the major aim of this research. Material and Methods: For penile hypospadias, there are 41 tabularized incised plate i.e., TIP repairs for surgical procedure in Allied / DHQ Hospital Faisalabad. All the patients were prospectively observed for three years and classified into two groups: There were 20 patients where the urethral stent was removed right after 24 hours after operation and There were 21 patients where the stent was removed in the sixth postoperative day. For all patients, Suprapubic urinary diversion was done and the same surgeon has carried out all the operations. Cosmetic appearance and complications were written at the last follow-up. Results: 3.9 years was the mean age of all the patients with following observations, Urethra-cutaneous fistula was found in two cases in group A i.e., 4.4 %. Eleven patients had fistula in group B i.e., 33.2 % along with a statistically significant difference of P < 0.05. Meatal stenosis was reported in four patients in group A i.e., 11.1 % and meanwhile twelve patients had such complication in group B i.e., 36.5 % along with a statistically Significant difference of P < 0.05. In group-A, 4.4 % of wound infection was developed and meanwhile 32.2 % had wound infection developed postoperatively in group B along with statistically significant difference of P < 0.05. There was complete surgical failure when wound dehiscence occurs. Furthermore, it was observed that there was no significant difference among two groups i.e., p-value = 0.1. Conclusions: For all cases of penile hypospadias, tabularized incised plate i.e., TIP repair is a versatile operation that can be employed. Early stent removal, after one day of surgery for hypospadias repair simplifies care after operation. It also greatly minimizes the danger of development of wound infection, meatal stenosis and urethra-cutaneous fistula. It also avoids the requirement of antibiotics. KEYWORDS: Postoperatively, Curvature, Physiology, Meatoplasty, Glanuloplasty.