Evaluation of the Method and Duration of Urinary Diversion in the Management of Distal Penile Hypospadias Following Surgical Repair.
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ain Shams University
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- Decreased rate of fistula occurrence
Overview
Brief Summary
This study aims to conduct a head-to-head comparison to determine the optimal method and duration of urinary diversion following distal penile hypospadias repair. Specifically, it will evaluate whether urethral diversion alone or a combination of urethral and suprapubic diversions provides better outcomes, and whether a postoperative duration of one week or two weeks is more effective.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Care Provider, Investigator)
Eligibility Criteria
- Ages
- 6 Months to 18 Years (Child, Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients with Distal Hypospadias (Glanular, Coronal, Subcoronal)
- •Patients have Adequate ventral penile skin mobility
Exclusion Criteria
- •Patients with Crippled hypospadias.
- •Patients with Proximal hypospadias.
- •Patients with Hypoplastic urethra.
- •Patients with Neurogenic bladder
Arms & Interventions
Patient who will be left with urethral catheter for 2 weeks.
Intervention: Application of urethral catheter alone for 2 weeks. (Procedure)
Patients who will be left with urethral stent and suprapubic catheter for 1 week
Intervention: Application of urethral stent and suprapubic catheter for 1 week (Procedure)
Patients who will be left with urethral catheter alone for 1 week.
Intervention: Application of urethral catheter alone for 1 week. (Procedure)
Patients who will be left with urethral stent and suprapubic catheter for 2 weeks
Intervention: Application of urethral stent and suprapubic catheter for 2 weeks (Procedure)
Outcomes
Primary Outcomes
Decreased rate of fistula occurrence
Time Frame: 1 month
Secondary Outcomes
No secondary outcomes reported