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Post-operative tissue oedema is one of the main causes of failure of hypospadias repair. Severe oedema may disrupt the suture line, invite infection and result in repair failure. Thus, we suggested that local injection of corticosteroids in just below coronal sulcus into dartos and buck's fascia may limit this oedema thus improving the outcome of hypospadias repair.
This is a prospective comparative trial : comparing the use of local steroids injection to reduce tissue edema after hypospadias and to preserve the final cosmesis after tissue repair.
The patients will be divided into 2 groups(each group 20 patients): one group will be injected steroids just after hypospadias surgery while the other will not.
The short and long term outcomes between both groups will be compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Steroid injection | Active Comparator | Steroid (betamethasone) 2 ml is injected subcutaneously after finishing the operation at the repair site. |
|
| Control Group | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| steroid betamethasone | Drug | The steroid is injected using insulin needle in the subcutaneous tissue after finishing the repair |
|
| Measure | Description | Time Frame |
|---|---|---|
| Failure rate | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of Tissue edema | 3 days, 5 days, 10 days, 2 weeks | |
| Infection Rate | 3 days, 5 days, 10 days, 2 weeks | |
| Fistula rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo Univeristy Hospital | Cairo | 002 | Egypt |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Sep 3, 2020 | |
| Reset | Sep 24, 2020 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Sep 3, 2020 | Sep 24, 2020 |
| ID | Term |
|---|---|
| D007021 | Hypospadias |
| D004487 | Edema |
| D005402 | Fistula |
| ID | Term |
|---|---|
| D014564 | Urogenital Abnormalities |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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comparative prospective clinical trial
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| 2 weeks |
| Final cosmesis | The shape of the glans penis and surrounding tissue | 3 days, 5 days, 10 days, 2 weeks |
| D010409 | Penile Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D052801 | Male Urogenital Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020763 | Pathological Conditions, Anatomical |