Abstract book 6th RMS 16.indd

urethral plate urethroplasty (TIPU) in
prevention of bacteriura and urinary tract
infections.
Methods: A prospective study done on
40 pts who had stented TIPU for coronal
hypospadias;between jan 2008 and Dec
2010, done at karak hospital. average age
at surgery was 13.2 months. Pts where
divided into 2 groups; group A: involved
20 pts were kept on oral AB until urethral
catheter removal; while group B: 20 pts
had no oral AB post operatively.
Results: The 2 groups were followed for
3 years. Urethral catheter removed after 8
days post operatively in the two groups. In
group A pts were kept on oral AB as long
as the catheter in. Co-trimoxazole in syrup
form were selected as an oral AB; given in
two divided doses. For each pt at time of
stent removal and after 3 weeks later urine
sample was sent for analysis and culture.
3 pts (15%) from group A had bacteriuria;
and all have negative urine culture, while
in group B 8 pts (40%) had bacteriuria (P
Value < 0.05) ; and 3 pts had positive urine
culture for E-coli which were sensitive to
Co-trimoxazole. Non of the pts from the 2
groups had febrile UTI.
Conclusion: Using oral AB post stented
TIPU will significantly reduces bacteriuria
and positive urine culture.
60
Inverted Y on V Meatourethroplasty
for Distal Penile Hypospadias: Our
Experience at Queen Rania
Al-Abdullah Hospital for Children
Waseem Al-Meflh MD*, Ahmad Al-Remony
MD, Ibrahim Al-Esboo MD, Samer Karadesheh
MD, Ibrahim Daradka MD
* Pediatric Surgeon, Queen Rania Al-Abdullah
Hospital for Children, King Hussein Medical
Center, Royal Medical Services (Jordan)
wozbi@yahoo.com
Objectives: The aim of this study is
to evaluate the patient with Distal
Penile Hypospadius who treated with
this technique regarding success rate,
complications and cosmesis.
Methods: Retrospective study was carried
out at Queen Rania Hospital for Children
from April 2010 to June 2012. A 44
patient with distal Hypospadias without
chordae underwent Inverted Y on V
Meatourethroplasty. Age of patient ranged
from 1.5 to 8 years. Mean age is 4.5 years.
Results: Patients were followed up to date.
In 33 patients (75%) have excellent result
without any complications and excellent
cosmetic results , while complications were
seen in 11 patients, retracted meatus in 6
cases (13.6%), fistula in 4 (9%), complete
disruption in 1 case (2.3%).
Conclusion: Inverted Y on V
Meatourethroplasty can be used
successfully for Distal Penile Hypospadius
repair with excellent cosmetic results,
complication rate still acceptable but we
still need further evaluation and more
experience for this technique. Hypospadias,
Meatourethroplasty, Complications.
61
Laparoscopic Treatment of Ovarian
Cysts and Masses in Children
Ahmad Abo-Gorah MD JBGS*, Najeh Alomari
MD, FACS, IMRCS, FEBPS, FRACS, JBPS, JBGS,
M Dajah MD, Majed Sarayreh MD,Yanal
Abazza MD, Asma Idamat Pharmacist, Afnan
Refaei RN, Nadia Soudani RN , Nida Fawaeir RN
* Specialist Pediatric Surgeon / Queen Rania
Al-Abdullah Hospital for Children, King Hussein
Medical Center, Royal Medical Services (Jordan)
najeho@yahoo.com
Objectives: Background:
Laparoscopic approach is considered one
of the current options for the management
of several surgical conditions in children.
The aim of this study is to present the
laparoscopic treatment of ovarian cysts &
masses in children, feasibility, safety and
outcome
Methods: Patients and methods: This
retrospective study was conducted at
Queen Rania Hospital for Children. A
total of 12 patients aged between 5 days
and 12 years (mean age 3.5 years) with
ovarian cysts were treated by laparoscopy
between May (2008 -2012). Patients were
evaluated with respect to operative time,
the need for conversion to open surgery,
any intraoperative and/or postoperative
complication, pain assessment using
Wong-Baker FACES Pain Rating Scale, total
hospital stay, and final cosmetic outcome.
All patients had tumor maker assessment
prior surgery ( B-HCG, AFP).
Results: Simple ovarian cyst, not
complicated, and larger than 5 cm was
encountered in 6 patients. Mixed cystic
59 www.jrms.gov.jo