Postoperative care
hypospadias, skin discoloration, urethral fistula, postoperative oedema, oedema
RECURRENCE, POSTOPERATIVE COMPLICATIONS, PENILE EDEMA, DEHISCENCE, SKIN INFECTION, MEATAL STENOSIS, REGRESSION, OEDEMA
All patients began oral intake three hours after surgery with a hospital stay of 24 h. Postoperatively broad spectrum antibiotic (amoxicillin and clavulanic acid) was administered for one week. The wound was inspected in outpatient clinic on day two for postoperative oedema by measuring and recording the penile circumference. The catheter was removed after 5 to 7 days according to the type of procedure. We used small dose of non-steroidal anti-inflammatory for three days postoperatively in all cases of both groups.Patients were checked twice weekly in the first two weeks then once weekly for three months then after 6 months. At each visit, they were assessed clinically to detect any postoperative complications and evaluate the final cosmetic and functional outcomes. We compared both groups regarding early postoperative complications (penile edema, skin discoloration, superficial skin infection, disruption of suture lines or glans dehiscence). We considered 25% increase in penile circumference as mild oedema, 50% increase as moderate oedema and 75% increase as severe oedema, and late postoperative complications (meatal stenosis, urethral fistula or need for second repair due to recurrence of hypospadias or regression of the stage of hypospadias).