SIMPLIFIED POSTOPERATIVE MANAGEMENT OF HYPOSPADIAS REPAIR

Objective. To assess the effect of simplified postoperative management of hypospadias repair in an outpatient setting. Methods. The records of 1 62 boys were reviewed who underwent hypospadias repair by the fol lowing techniques: meatal-based flap (72), free skin graft (54), two-s tage repair (21), and bladder mucosal graft (I 5). Urinary diversion w as provided by open catheter drainage in the latter three groups, and a simple wrap penile dressing was used in all patients. With the excep tion of the bladder mucosal graft technique, all procedures were perfo rmed as outpatients. Results. Complications requiring a second surgica l procedure occurred in 28 patients (17%). No patient required rehospi talization during the postoperative period. Conclusions. These results compare favorably to previously reported series utilizing traditional postoperative techniques.