Pediatric Urethral Reconstruction Without Proximal Diversion

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Abstract
A new method of transurethral drainage was used in 36 consecutive patients who underwent urethral reconstruction for repair of hypospadias and epispadias. The surgical procedures included 16 island flap urethroplasties, 15 distal urethral repairs with Mathieu’s technique, 3 epispadias repairs and 2 urethroplasties with a modified Thiersch-Duplay technique. To accomplish urinary drainage in all cases a 7 or 10F silicone tube with multiple perforations was inserted proximal to the bladder neck and through the repair, and cut 2 mm. distal to the urethral meatus. The tube was secured to the meatus with loosely tied 4-zero polypropylene sutures and allowed to drain into a diaper.

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