Abstract: Background: Despite advancements in several procedures and suture materials and the proposal of new ones, hypospadias repair problems must be decreased. Urethrocutaneous fistulas, the most prevalent consequence, are used to assess therapy effectiveness. A prospective comparison study of hypospadias children examined how suturing material affected treatment outcome. The study aims to compare Polydioxanone 6.0 and Polyglactin 6.0 suture materials in distal hypospadias repair using the T.I.P. technique, focusing on post-operative complications like wound infection, edema, glans dehiscence, fistula, urethral stricture, and meatal stenosis.
Method: Between November 2018 and November 2019, 43 boys with distal hypospadias underwent T.I.P. technique repair at Ghazi AL Hariri Hospital and Nursing Home Hospital. They were divided into two groups: Group A (23 patients) used Polydioxanone for urethroplasty, and Group B (20 patients) used Polyglactin. Exclusions were mid/proximal hypospadias, previous repair failures, second-stage hypospadias, and over 30-degrees curvature. Follow-ups at 14 days, 1 month, 3 months, 6 months, and 1 year focused on complications like wound infection, edema, glans dehiscence, fistula, urethral stricture, and meatal stenosis. Results: In the study, Group A (mean age 4.74±2.598 years) experienced higher edema (30.43%) compared to Group B (mean age 4.80±2.526 years) with 5.00% at 2 weeks, a statistically significant difference favoring Polyglactin (p-value 0.0325). Similarly, Group A had a higher incidence of post-operative wound infection (30.43%) at 6 months compared to Group B (5.00%), also significant in favor of Polyglactin (p-value 0.0325). However, there were no statistically significant differences between the groups in other post-operative complications like glans dehiscence, fistula, urethral stricture, and meatal stenosis.
Conclusion: Both suture materials can be used in the repair of distal hypospadias by tubularized incised plate technique (T.I.P.) without significant difference in complications, in favor of polyglactin 6.0 suture material with long term results.
