Three different strategies of urine drainage following hypospadias surgery: clinical nursing and observation.
- Author:
Ning LIN
;
Jin-hua QIU
;
Yu-lian WU
;
Zheng LIN
;
Lian-fang CAO
;
Xiao-dan LIN
;
Li-qin LU
;
Ping JIANG
;
Su-yun ZHU
- Publication Type:Journal Article
- MeSH: Cystostomy; Drainage; methods; Humans; Hypospadias; surgery; Length of Stay; Male; Postoperative Complications; prevention & control; Reconstructive Surgical Procedures; Retrospective Studies; Stents; Urethra; surgery; Urethral Stricture; prevention & control; Urinary Fistula; prevention & control; Urine; Urologic Surgical Procedures, Male
- From: National Journal of Andrology 2015;21(2):153-156
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study 3 different strategies of urine drainage following hypospadias urethroplasty, the clinical nursing in their application, and their effects.
METHODSWe retrospectively analyzed the clinical data of 595 cases of hypospadias treated by urethroplasty. After surgery, 133 of the patients underwent urine drainage by suprapubic cystostomy (group A), 202 by urethral stent- tube indwelling (group B), and 260 by early initiative micturition with the urethral stent-tube (group C). All the patients received routine postoperative nursing care required for hypospadias repair.
RESULTSOperations were successfully completed in all the cases. Group C showed a remarkably shorter hospital stay and lower incidence rates of urinary fistula and urethral stricture than groups A and B (P<0.05), but there were no significant differences in the three indexes between A and B (P<0.05).
CONCLUSIONFor urine drainage following hypospadias repair, early initiative micturition with the urethral stent-tube can significantly reduce postoperative complications, decrease difficulties and workload of nursing care, and shorten the hospital stay of the patient.