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 journalArticlepeer-review

6 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

Keywords

  • Cyanoacrylate
  • Hypospadias
  • Surgical wound
  • Tissue adhesive

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