The use of octyl cyanoacrylate (superglue) in hypospadias repair including its use as a fixator for urethral stents

Hock Lim Tan, Shireen A. Nah, Iskandar I. Budianto, Syariz Sehat, Riana Tamba

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Octyl cyanoacrylate has been used for many years for simple skin closure, but its use in hypospadias repair and as a urethral stent fixator has not been previously reported. We report our experience. Method: A retrospective study was performed of all children undergoing hypospadias surgery from July 2007 to July 2011. Octyl cyanoacrylate was used for skin closure after placing a few sutures to align the skin edges. No other dressing was used. A urethral stent, if used, was glued to the penis and removed after one week. Results: Seventy two procedures were performed on 37 patients. Eight distal hypospadias (22%) underwent single stage repair. Seventeen (46%) underwent staged repair for severe hypospadias, and twelve (32%) hypospadiac cripples underwent various salvage procedures. One patient (1/72) had partial dehiscence, and one stent dislodged. There were no wound infections. Four (4/25) tabularized urethroplasties developed a fistula (16%). Conclusion: Octyl cyanoacrylate is easy to apply on difficult hypospadias contours. It forms a strong, waterproof adhesive bond which separates from epithelial surfaces in 7 to 10 days and makes it an effective urethral stent fixator and an ideal dressing for hypospadias surgery.

Original languageEnglish
Pages (from-to)2294-2297
Number of pages4
JournalJournal of Pediatric Surgery
Volume47
Issue number12
DOIs
Publication statusPublished - Dec 2012
Externally publishedYes

Fingerprint

Cyanoacrylates
Hypospadias
Stents
Bandages
Skin
Penis
Wound Infection
Adhesives
Sutures
Fistula
Retrospective Studies

Keywords

  • Cyanoacrylate
  • Hypospadias
  • Surgical wound
  • Tissue adhesive

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

The use of octyl cyanoacrylate (superglue) in hypospadias repair including its use as a fixator for urethral stents. / Tan, Hock Lim; Nah, Shireen A.; Budianto, Iskandar I.; Sehat, Syariz; Tamba, Riana.

In: Journal of Pediatric Surgery, Vol. 47, No. 12, 12.2012, p. 2294-2297.

Research output: Contribution to journalArticle

Tan, Hock Lim ; Nah, Shireen A. ; Budianto, Iskandar I. ; Sehat, Syariz ; Tamba, Riana. / The use of octyl cyanoacrylate (superglue) in hypospadias repair including its use as a fixator for urethral stents. In: Journal of Pediatric Surgery. 2012 ; Vol. 47, No. 12. pp. 2294-2297.
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abstract = "Background: Octyl cyanoacrylate has been used for many years for simple skin closure, but its use in hypospadias repair and as a urethral stent fixator has not been previously reported. We report our experience. Method: A retrospective study was performed of all children undergoing hypospadias surgery from July 2007 to July 2011. Octyl cyanoacrylate was used for skin closure after placing a few sutures to align the skin edges. No other dressing was used. A urethral stent, if used, was glued to the penis and removed after one week. Results: Seventy two procedures were performed on 37 patients. Eight distal hypospadias (22{\%}) underwent single stage repair. Seventeen (46{\%}) underwent staged repair for severe hypospadias, and twelve (32{\%}) hypospadiac cripples underwent various salvage procedures. One patient (1/72) had partial dehiscence, and one stent dislodged. There were no wound infections. Four (4/25) tabularized urethroplasties developed a fistula (16{\%}). Conclusion: Octyl cyanoacrylate is easy to apply on difficult hypospadias contours. It forms a strong, waterproof adhesive bond which separates from epithelial surfaces in 7 to 10 days and makes it an effective urethral stent fixator and an ideal dressing for hypospadias surgery.",
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