A simple dressing for hypospadias surgery in children

Abstract

Cite as: Can Urol Assoc J 2017;11(1-2):E58-9. ttp://dx.doi.org/10.5489/cuaj.3930 Published online January 12, 2107 AbstractOne of the most controversial aspects of hypospadias surgery is the election of an appropriate wound dressing. In fact, there may be as many different types of dressing as there are types of surgical repair. Here, we describe a new, simple method for hypospadias dressing in children that minimizes painful removal. MethodOne of the most controversial aspects of modern hypospadias surgery is the election of an appropriate wound dressing.1 Multiple dressings after hypospadias surgery have been previously reported.2 Dressing prevents postoperative edema and hematoma formation, maintaining the phallus in an upright position. Most dressings are bulky, hard to apply or remove, and may fall off in an active child.3 Commonly used dressings are adherent to the surgical wound, making removal more likely to be painful, especially in young children. 4 All the above-mentioned materials have their own set of advantages and disadvantages. Under these conditions, the use of a self-adherent, soft, silicone-foam dressing that minimizes painful removal is really appropriate for hypospadias surgery. The Mepilex ® Border foam sheet is cut according to the penile length and circumference. The lower border of dressing is split in three flaps for self-adherence to pubic and scrotal area (Fig. 1). The foam dressing need to be rolled into a cylindrical shape, wrapping round the penis and closed on the dorsal aspect with adhesive lateral border (Fig. 2). The top of the dressing must be left open to allow the urinary catheter to come through and to see the colour of the glans during postoperative period. No secondary dressings are necessary. The application of this type of dressing is very simple, with no need for previous skills and without increasing the operation time.The dressing is removed after 5-10 days, depending on the urethroplasty procedure performed. The dressing, being non-adherent in the wound area, is easily peeled off with no need of analgesics and minimal discomfort (Fig. 3). ConclusionSelf-adherent, soft, silicone-foam dressing (Mepilex ® Border) is really accurate for hypospadias surgery in children. It can be easily removed, avoiding harm to the child. E59Hypospadias dressing in childrenCompeting interests: The authors report no competing personal or financial interests.This paper has been peer-reviewed.

Biocompatible dressing for pediatric hypospadias repair

“…The choice of wound dressings depends on the availability, cost or the personal choice/experience of the surgeon. Various types of dressings like Peha Haft®, Tegaderm ® and Allevyn ® Adhesive dressing have been used after hypospadias repair [1][2][3][4]. Yet, there is still no dressing made speci cally for hypospadias repair in pediatric patients keeping in mind their needs.…”

Evaluation of a New Tubular Finger Oxygen-Enriched Oil Inside-Coated Dressing Device in Pediatric Patients Undergoing Distal Hypospadias Repair: A Prospective Randomized Clinical Trial Part II

“…Probably one of the most controversial aspects of hypospadias surgery is the post-operative dressing (1). Analyzing the international literature, no consensus emerged about this argument (2) and an enormous number of surgical techniques as well as type of dressings have been described for operative and post-operative management of pediatric patients affected by hypospadias (3)(4)(5)(6)(7)(8)(9)(10).…”

Evaluation of efficacy of oxygen-enriched oil-based gel dressing in patients who underwent surgical repair of distal hypospadias: a prospective randomised clinical trial

“…Probably, one of the most controversial aspects of hypospadias surgery is the election of an appropriate wound dressing [1]. Multiple dressings have been previously described, using different types of materials such as silastic foam, elastic bands, glove finger, Tegaderm, Opsite, Cavicare and the more recent silicone-foam sheets (Mepilex and Allevyn) [7][8][9][10][11][12][13][14]. Nevertheless, there is no evidence in the current literature about the best method for postoperative dressing following hypospadias repair [1,15].…”