Title: Study of Using Foley catheter for Tubularizing Neourethra in Urethroplasty for Hypospadias in Children
Author: Dr Nirmal Bhaskar
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.88
Abstract
Introduction: Hypospadias is a birth abnormality of the urethra where the urinary opening is not at the usual location on the head of the penis. Treatment of hypospadias is urethroplasty.
Objective: Study the effect of foley catheter for tubularizing neourethra in urethroplasty for hypospadias in children. Usually infant feeding tube is used.
Materials and Methods: This is a prospective study of 2 years duration. Total there were 22 children. Only snodgrass urethroplasty and Dennis Brown urethroplasty were studied. Foley catheter of No:8 used in 14 cases and No:10 Foley’s is used in 8 case. We had 1 year follow up.
Result: Of 14 cases in which No:8 foley catheter used, 11 cases had uneventful post operative period. 3 cases with No: 8 Foley used, there was catheter block on 3-5th day and we had to do Suprapubic catheterisation. Of 10 cases in which foley catheter used, all cases had uneventful post operative period. Both cases catheter kept for 2- 3 weeks. None developed urethral fistula or stricture.
Conclusion: Our study shows foley catheter is a good alternative for infant feeding tube, in case of urethroplasty for hypospadias in children. If we use foley catheter No: 8, there is some risk of catheter block. If we can use Foley catheter No:10, result is excellent, without any catheter block. But in both cases, there is no cases of catheter slipping out .Catheter stayed for 3 weeks. All cases had good results.
Keywords: Hypospadias, Urethroplasty, Foley Catheter, Urethral Fistula, infant feeding tube, urethral stricture.
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