Open Access

PEDIATRIC UROLOGY

2-octyl cyanoacrylate hypospadias repair dressing: a retrospective, controlled comparison

W. Jordan Brockway¹, Andrew J. Bradsher¹, Jessica E. Hook¹, Ashay S. Patel^1,2, Ismael Zamilpa^1,2, Stephen J. Canon^1,2

1 Department of Urology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
2 Pediatric Urology Division, Arkansas Children’s Hospital, Little Rock, Arkansas, USA
Address correspondence to Dr. Stephen J. Canon, Pediatric Urology Division, Slot 840, Arkansas Children’s Hospital, #1 Children’s Way, Little Rock, AR 72202 USA

Canadian Journal of Urology 2019, 26(1), 9675-9679.

Abstract

Introduction: 2-octylcyanoacrylate (OC) has been shown to be a viable option for usage following standard circumcision, but data on its utilization following hypospadias repair is limited. Both OC and a standard waterproof transparent dressing (WD) are used following hypospadias repair at our children’s hospital. Our hypothesis is that patients with distal hypospadias repair using OC for surgical dressing have similar outcomes as compared to patients with WD.
Materials and methods: A retrospective study was performed evaluating all patients with distal hypospadias repair during a 2-year period. OC was primarily used by one of the three physicians in the practice, with the other two primarily using WD for surgical dressing. The primary endpoints evaluated include hematoma requiring surgical drainage, infection, meatal stenosis, urethrocutaneous fistula, dehiscence, and diverticulum. Standard follow-up after hypospadias repair includes a 1-week follow-up for patients requiring urethral stent removal and reevaluation for all patients 3-4 months after surgery. REDCap was used in order to compile the database used in this study.
Results: A total of 280 patients underwent distal hypospadias repair during this interval. One hundred twenty-two patients had OC used, with 3 (2.4%) having complications: 2 fistulas and 1 with both meatal stenosis and fistula. One hundred fifty-eight patients were dressed with WD, with 5 (3.2%) complications: 4 fistulas and 1 meatal stenosis. No patients had hematoma, wound dehiscence, diverticulum, or infection.
Conclusion: A low rate of complication was observed following distal hypospadias repair using both 2-octyl cyanoacrylate and a standard waterproof transparent dressing. 2-octyl cyanoacrylate is a safe option for surgical dressing following distal hypospadias repair, but its utilization in this setting is surgeon dependent.

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