Post-operative tissue oedema is one of the main causes of failure of hypospadias repair. Severe oedema may disrupt the suture line, invite infection and result in repair failure. Thus, we suggested that local injection of corticosteroids in just below coronal sulcus into dartos and buck's fascia may limit this oedema thus improving the outcome of hypospadias repair.
This is a prospective comparative trial : comparing the use of local steroids injection to reduce tissue edema after hypospadias and to preserve the final cosmesis after tissue repair. The patients will be divided into 2 groups(each group 20 patients): one group will be injected steroids just after hypospadias surgery while the other will not. The short and long term outcomes between both groups will be compared.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
40
The steroid is injected using insulin needle in the subcutaneous tissue after finishing the repair
Cairo Univeristy Hospital
Cairo, Egypt
Failure rate
Time frame: 2 weeks
incidence of Tissue edema
Time frame: 3 days, 5 days, 10 days, 2 weeks
Infection Rate
Time frame: 3 days, 5 days, 10 days, 2 weeks
Fistula rate
Time frame: 2 weeks
Final cosmesis
The shape of the glans penis and surrounding tissue
Time frame: 3 days, 5 days, 10 days, 2 weeks
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