Feasibility of Fast-Track Surgery in Children with Hypospadias

Objective: The aim of this study is to evaluate feasibility of fast-track surgery concept in children with distal hypospadias who are treated by Snodgrass technique. Material and Methods: Children who were operated due to distal hypospadias between 2012 and 2017 were evaluated retrospectively. Patients with proximal hypospadias and patients with any concomitant anomalies were excluded from the study. Type of hypospadias, age of patients, surgical technique, duration of hospitalization stay and complications were retrospectively analyzed. Results: There were 67 children in the study. Mean age was 1.5 years (6 months-14 years). Snodgrass procedure was the method of choice in all cases. The mean follow-up time was 29 months (1-82 months). Thirty-nine children stayed at the hospital overnight and in 28 children the procedure was carried out as a day-case surgery. There were no postoperative complications in any of cases. Conclusion: Distal hypospadias surgery seems to be an excellent type of procedure for implementation of fast-track concept