Zhao Xiang, Yu Kechi, Fang Erhu, Li Ning
Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Pediatr. 2024 Dec 19;12:1402440. doi: 10.3389/fped.2024.1402440. eCollection 2024.
Urethral catheter obstruction is a notable issue that pediatric patients with hypospadias may encounter in the early postoperative period. This retrospective study aims to assess the efficacy of open-ended urethral catheters with 2 side holes in mitigating catheter obstruction in pediatric patients following hypospadias repair.
The clinical data of pediatric patients who underwent hypospadias repair surgery from January 2021 to October 2023 were retrospectively collected. The patients were divided into 2 groups. Those who used standard Foley catheters were referred to as Group A, while those who used modified open-ended catheters were referred to as Group B. The primary outcome was the incidence of catheter obstruction within 7 days postoperatively.
A total of 297 patients were included in this study, with 142 patients in Group A and 155 patients in Group B. In Group A, there were 12 cases of catheter obstruction, with 10 cases resolved through irrigation and 2 cases requiring additional catheters insertion by suprapubic bladder punctures. In Group B, only 4 cases experienced catheter obstruction, which were effectively and easily resolved through maneuver irrigation. The incidence of catheter obstruction in Group B was statistically significantly lower than that in Group A (2.6% vs. 8.5%, < 0.05).
In pediatric hypospadias patients who underwent surgical repair, the use of open-ended urethral catheters with 2 side holes significantly diminishes the incidence of postoperative catheter obstruction. This simple technique is worthy of promotion.
尿道导管阻塞是小儿尿道下裂患者术后早期可能遇到的一个显著问题。本回顾性研究旨在评估带有两个侧孔的开放式尿道导管在减轻小儿尿道下裂修复术后导管阻塞方面的疗效。
回顾性收集2021年1月至2023年10月接受尿道下裂修复手术的小儿患者的临床资料。患者分为两组。使用标准Foley导管的患者称为A组，使用改良开放式导管的患者称为B组。主要结局是术后7天内导管阻塞的发生率。
本研究共纳入297例患者，A组142例，B组155例。A组有12例导管阻塞，其中10例通过冲洗解决，2例需要通过耻骨上膀胱穿刺额外插入导管。B组仅有4例发生导管阻塞，通过手法冲洗有效且轻松地解决了问题。B组导管阻塞的发生率显著低于A组（2.6%对8.5%，<0.05）。
在接受手术修复的小儿尿道下裂患者中，使用带有两个侧孔的开放式尿道导管可显著降低术后导管阻塞的发生率。这种简单的技术值得推广。
