Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Department of Surgery, Tobu Chiiki Hospital, Tokyo Metropolitan Health and Medical Treatment Corporation, Tokyo, Japan.
Afr J Paediatr Surg. 2021 Jan-Mar;18(1):5-8. doi: 10.4103/ajps.AJPS_17_18.
We report the efficacy of pre- and post-operative showering for preventing surgical site infections (SSIs) and urethrocutaneous fistula after hypospadias surgery.
In 2006, standardised pre- and postoperative showering was introduced for hypospadias patients. Showering involves washing the genitals and groin 2 h preoperatively as well as immediately after the removal of a stent postoperatively. Data from 520 procedures performed on 376 hypospadias patients by a single surgeon from 1996 to 2015 were collected prospectively. The shower (S) group comprised 258 patients (372 procedures) and the nonshower group comprised 118 patients (148 procedures). Management protocols were identical for two groups.
Patient demographics were similar. SSIs were significantly less in the S group (0% vs. 2.0%; P < 0.05). The incidence of fistulas was lower in the S group (2.0% vs. 6.3%). The mean duration of follow-up was significantly shorter in the S group (3.6 vs. 12.8 years; P < 0.05) but longer than the mean time taken for complications to develop (0.4 years).
Our results suggest that pre- and post-operative showering may contribute to preventing SSIs and fistulas in hypospadias patients.
我们报告了术前和术后沐浴在预防尿道下裂手术后手术部位感染（SSI）和尿道皮肤瘘中的疗效。
2006 年，我们为尿道下裂患者引入了标准化的术前和术后沐浴方案。沐浴包括在术前 2 小时和术后支架移除后立即清洗生殖器和腹股沟。从 1996 年至 2015 年，由一位外科医生对 376 例尿道下裂患者的 520 例手术进行了前瞻性数据收集。沐浴（S）组包括 258 例患者（372 例手术）和非沐浴组包括 118 例患者（148 例手术）。两组的管理方案相同。
患者的人口统计学特征相似。S 组的 SSI 明显较少（0%比 2.0%；P < 0.05）。S 组的瘘管发生率较低（2.0%比 6.3%）。S 组的平均随访时间明显较短（3.6 年比 12.8 年；P < 0.05），但短于并发症发展的平均时间（0.4 年）。
我们的结果表明，术前和术后沐浴可能有助于预防尿道下裂患者的 SSI 和瘘管。
