Comparison of two Closed - and Open Urine Drainage Cares on Acute Complications after Hypospadias Repair Operation in Children

Hypospadias is one of the common external genitalia disorders in children. The aim of this study was to compare the effect of closed and open urine discharge care on acute complications of hypospadias after repair operation. This controlled clinical trial study was done on children admitted to the Mofid children's hospital. Sample selecting method was random. 108 selected children were divided into two experimental (open) and control (closed) groups. Acute post-operative complications (bleeding at the surgical site, fever, positive urine culture, urinary catheter removal by patient, the urinary tract fistula and urethral stricture) were compared in two groups. Among all studied subjects in 60 children (55.5%) one or more acute post-operative complications were observed. There were significant differences between the frequency of urinary catheter removal by children in two studied groups (p<0.001). There was significant difference between received Acetaminophen (p=0.005), the number of urinary catheter washing (p=0.001), those with less than normal 24hour urine discharge the (p=0.196) and fixing time of the stent catheter in the urinary tract (p=0.001) between two groups. There is no significant difference in acute complications in open and closed urine discharge care method. However, open urine discharge method reduces “the number of urinary catheter removal by child”.