ARTICLE INFO

Article Type

Original Research

Authors

Fatemiyan   M. (1 )
Alayi Karheroudi   F. (* )
Rouzrokh   M. (1 )
Azargashb   E. (1 )
Abdollah Gorji   F. (1 )






(* ) Department of Pediatric, Nursing & Midwifery Faculty, Shahid-Beheshti University of Medical Sciences, Tehran, Iran
(1 ) Mofid Medical Center, Shahid-Beheshti University of Medical Sciences, Tehran, Iran

Correspondence

Address: Pediatrics Department, Nursing & Midwifery Faculty, Next to Niayesh Highway, Vali-e-Asr Street, Tehran, Iran
Phone: +982188655372
Fax: +982188202520
falaee@yahoo.com

Article History

Received:   November  28, 2013
Accepted:   May 31, 2014
ePublished:   July 1, 2014

ABSTRACT

Aims Hypospadias is one of the common external genitalia disorders in children. The aim of this study was to compare the effect of closed and open urine discharge care on acute complications of hypospadias after repair operation.
Materials & Methods This controlled clinical trial study was done on children admitted to the Mofid children's hospital. Sample selecting method was random. 108 selected children were divided into two experimental (open) and control (closed) groups. Acute post-operative complications (bleeding at the surgical site, fever, positive urine culture, urinary catheter removal by patient, the urinary tract fistula and urethral stricture) were compared in two groups.
Findings Among all studied subjects in 60 children (55.5%) one or more acute post-operative complications were observed. There were significant differences between the frequency of urinary catheter removal by children in two studied groups (p<0.001). There was significant difference between received Acetaminophen (p=0.005), the number of urinary catheter washing (p=0.001), those with less than normal 24hour urine discharge the (p=0.196) and fixing time of the stent catheter in the urinary tract (p=0.001) between two groups.
Conclusion There is no significant difference in acute complications in open and closed urine discharge care method. However, open urine discharge method reduces “the number of urinary catheter removal by child”.

Keywords: Hypospadias, Managed Care Programs, Post-Operative Period, Child ,

CITATION LINKS

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