Necrotizing fasciitis: a rare complication of hypospadias surgery in a child

Luo, Chih Cheng; Chao, Hsun Chin; Chiu, Cheng Hsun

doi:10.1016/j.jpedsurg.2005.01.024

Cited by 6 publications

(1 citation statement)

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“…Necrotizing fasciitis, a rapidly progressive soft tissue infection involving the skin, subcutaneous tissue and superficial fascia, is very rare in hypospadias surgery; one such case is reported. [26] Prophylactic antibiotics reduce the complications, so routine use of prophylactic antibiotics is advisable. [2728] Postoperative urinary tract infection is rare in hypospadias repair and antibiotics are rarely needed beyond 7-10 days, but if infection persists, one should suspect a stagnation of urine in the urethra due to long/wide skin neourethra, urethral diverticula, or prostatic utricle.…”

Section: Complicationsmentioning

confidence: 99%

Acute postoperative complications of hypospadias repair

Bhat

Mandal

2008

Indian J Urol

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PurposeComplications in hypospadias surgery are higher than other reconstructive procedures. The incidence of complications can be reduced if proper preventive measures are taken. The review aims to highlight incidences, causes, and preventive measures of acute complications of hypospadias repair.Materials and MethodsLiterature reports were reviewed in Pubmed by giving the key word acute complications of hypospadias repair, wound infection, wound dehiscence, flap necrosis, edema, penile torsion, urethral fistula, bleeding and hematoma and urethral stents problems. Summaries of all articles were reviewed with full text of relevant article and results were analyzed.ResultsBesides mentioning the complications of hypospadias repair in individual articles on the subject, we did not come across any separate article on this subject in the published English literature. Fistula is the commonest complication followed by edema and penile torsion.ConclusionsMost acute complications can be prevented with adherence to principles of plastic and microsurgery, meticulous preoperative planning, and judicious postoperative care. Deviation from these principles may lead to disaster and even failure of the repair. The aim in hypospadias surgery should be following these principles and bring down the complication rates < 5% in distal hypospadias and < 10% in proximal hypospadias.

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Section: Complicationsmentioning

confidence: 99%