Acrylate application of the penis in the surgical treatment of hypospadias in boys: multicenter study

Introduction. One of the most important aspects of the treatment of hypospadias is the use of a postoperative dressing. Currently, many types of dressings are available, with their advantages and disadvantages. The postoperative dressing should be easy to use, able to control edema, prevent bleeding and the formation of hematomas, and prevent other possible complications. In the last decade, there have been publications in which cyanoacrylate adhesives were used with good results in surgical operations on the penis. Materials and methods. The study included 77 boys who underwent correction of the distal form of hypospadias from January 2018 to December 2020. The first group consisted of 47 boys, whose penile skin was applied with cyanoacrylate tissue glue after the operation was completed. The second group included 30 boys who used a standard circular adhesive bandage. All patients received the same type of treatment. Results. In the early postoperative period, 16 (20.78%) patients had various complications associated with bandages, which were distributed according to the Clavien-Dindo classification and assigned to grade I-II, according to clarien-Dingo classification. In the group of acrylate application, five (10.6%) patients needed to perform manipulations on the penis in the form of repeated adhesive application. When using an elastic self-binding bandage, all patients needed to remove the bandage, and 11 (36.7%) patients needed additional bandages (χ2=6.038; p=0.015). Conclusions. The use of acrylate application is an alternative to standard postoperative dressings in the treatment of hypospadias. The technology of use can be easily trained and reproduced by surgical personnel.