B G Cilento1, J A Stock, G W Kaplan. 1. Children's Hospital, Division of Urology, University of California San Diego Medical Center, USA.
Abstract
PURPOSE: We used a postoperative dressing of silicone foam in conjunction with a pantaloon spica cast to optimize the chances for successful graft take in hypospadias repairs with grafts. We compared the results to those of inpatient bed restriction. MATERIALS AND METHODS: A total of 15 patients underwent graft urethroplasty, and application of a penile silicone foam dressing and fiberglass pantaloon spica cast. Patients were discharged home the following morning. RESULTS: Two fistulas developed. Results are no different from those of our previously reported cases which required 6 or 7 days of hospitalization. CONCLUSIONS: We believe that the pantaloon spica cast provides necessary immobilization for facilitating imbibition and inosculation, which are required for graft survival. Also, the spica cast allows early discharge home, obviating the need for prolonged hospitalization and bed rest.
PURPOSE: We used a postoperative dressing of silicone foam in conjunction with a pantaloon spica cast to optimize the chances for successful graft take in hypospadias repairs with grafts. We compared the results to those of inpatient bed restriction. MATERIALS AND METHODS: A total of 15 patients underwent graft urethroplasty, and application of a penile silicone foam dressing and fiberglass pantaloon spica cast. Patients were discharged home the following morning. RESULTS: Two fistulas developed. Results are no different from those of our previously reported cases which required 6 or 7 days of hospitalization. CONCLUSIONS: We believe that the pantaloon spica cast provides necessary immobilization for facilitating imbibition and inosculation, which are required for graft survival. Also, the spica cast allows early discharge home, obviating the need for prolonged hospitalization and bed rest.