Antibiotic Use in Distal Hypospadias Repair
Antibiotic Use in Distal Hypospadias Repair
Hypospadias is a common condition where the opening of the penis is not located at the tip,
 but along the underside of the penis. It is estimated to occur in 1/300 live male births,
 making it one of the most common birth defects. Degrees of hypospadias ranged from minor to
 severe depending on the location of the opening. Surgical repair is often required and
 involves placement of a catheter for the urine to drain with known urinary colonization found
 on prior retrospective studies. The current practice of using preventative antibiotics as
 long as the catheter is in place is conflicting with resent studies that show antibiotics may
 not be necessary to prevent urinary tract infections (UTIs).

 The purpose of this study was to see how common symptomatic UTIs were after hypospadias
 repair surgery; and to see whether routine antibiotic use after surgery affected the rate of
 UTIs. Subjects were randomized to either receive antibiotics or no antibiotics after distal
 hypospadias repair. The research coordinator made follow-up phone calls with the family and
 the primary care provider (PCP) after stent removal, 30 days post surgery and after the 3
 month post surgical visit.
Males undergoing distal hypospadias repair involving stent placement were randomized to
 either receive or not to receive antibiotics post-operative. All subjects did not receive
 intra-operative antibiotics. Routine follow-up included having the stent removed one week
 post-op and a return visit at 3 months. The research nurse made follow-up phone calls to the
 family or the (PCP) one week after the stent was removed and at one month post-op to see how
 things were going with the child and again after teh 3 month post surgical visit, if the
 subject did not return after multiple rescheduling attempts.
Inclusion Criteria:

 -  Males undergoing primary distal hypospadias repair with open urethral stent drainage.

 Exclusion Criteria:

 -  Males undergoing fistula repair or glandular hypospadias repair without incontinent
 urethral stent drainage and hypospadias repair of mid or more proximal degrees of
 hypospadias were excluded from this study.