Incidence of febrile urinary tract infections after hypospadias repair surgery, A prospective case series study

Background and objectives: The aim of Hypospadias repair surgery is normal micturition without spraying, a straight erection and aesthetic satisfaction. The rate of febrile urinary tract infections in boys who underwent reconstruction surgery for hypospadias was explored in this clinical trial. Methods: In this clinical trial; 40 male patients who were diagnosed with hypospadias were underwent primary surgery for urethral reconstruction. The patients were followed-up for possible development of febrile urinary tract infection for two weeks following reconstruction surgery from June 2019 to December 2019. Results: The mean age of the patients was 5.5 (SD: 3.56) ranged from 1-12 years. The types of hypospadias were sub-coronal (26, 65 %), coronal (11, 27.5%), mid-shaft (1, 2.5%), and proximal penile shaft (2, 5%). The study revealed that 4 and 5 patients had once and twice previous hypospadias surgeries. Antibiotics were used intraoperatively, and postoperatively (95.0% and 100%), respectively. The most frequently used catheters were Foley f6 (57.5%) and Foley f12 (17.5%) for 7 to 10 days, lubricants used for all patients. The study revealed that two patients developed fever, dysuria and urgency to urinate equally (5%), two patients developed frequency (5%). Urine culture sensitivity and complete blood count tests were performed for two patients with abnormal general urine examination. The E. coli growth was observed in the culture of both patients and elevated white blood count in one patient. Conclusions: This study showed that reconstruction surgery for hypospadias has a low rate of febrile UTI following two weeks post operatively.