الفهرس 
Anatomy of the penisOnly 14 pages are availabe for public view
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Abstract
Hypospadias affects 1/300 to 400 live male births. Most hypospadias surgeons agree that hypospadias repair requires strict attention to details and gentle tissue handling intraoperatively. However, postoperative care remains controversial. Perhaps the greatest variability applies to the postoperative dressing. Currently there is no consensus as to the optimum dressing among pediatric urologists, which explains the wide variety of dressings available. The aim of this study is to compare postoperative surgical outcome after distal hypospadias repair using conventional gauze dressing versus hydrocolloid occlusive dressing using the same technique. Patients and Methods: This Study was done in Paediatric Surgery Unit in the General Surgery Department, Tanta University Hospital from October 2017 to October 2018. In this study, 40 patients were included and divided into 2 groups (20 per each). group 1 underwent dressing with conventional gauze dressing after surgical correction of hypospadias, while group 2 underwent hydrocolloid occlusive dressing after repair of hypospadias. patients were followed up in the outpatient clinic at 1 and 2 weeks and 1, 3 and 6 months for presence of local inflammatory reaction, edema, hyperemia, transudation and adhesiveness of the material to the surgical field until its removal, wound infection, fistula. Results: The mean age of in Guaze group was 5.483 ±2.010 (range 0.75–9.25) years. The mean age in the Hydrocolloid group was 5.327±2.29 (range 0.83–9.15). There was no significant statistical difference regarding the mean age in both study groups. The mean duration of hospital stay for non-occlusive Gauze group was 4.13 days while for occlusive Hydrocolloid dressing group, it was 1.93 days. Dislodgement of dressing occurred in 4 (20%) cases in gauze group and in 1 (5%) case in hydrocolloid group. postoperative Dysuria occurred in 4 (20%) cases in gauze group and occurred in 1 (5%) case in hydrocolloid group. There was significant statistical difference regarding hospital stay, postoperative Dislodgement and postoperative Dysuria between study groups. Postoperative fistula occurred in 2 (10%) cases in gauze group and occurred in 1 (5%) case in hydrocolloid group. Postoperative infection occurred in 4 (20%) cases in gauze group and occurred in 2 (10%) cases in hydrocolloid group. Postoperative disruption occurred in 2 (10%) cases in gauze group and occurred in 0 (00%) of cases in hydrocolloid group. There was no significant statistical difference regarding postoperative fistula, postoperative infection and postoperative disruption between study groups. The mean total cost of dressing used in normal gauze group was 61.87±19.13LE while mean total cost of dressing used in hydrocolloid group was 96.87±27.86 LE. There was significant statistical difference regarding Frequency of dressing change and total cost of dressing in both study groups.