Evidence map›Paper›PMID 42064677›Full record

ArticleJournal of Indian Association of Pediatric Surgeons

Antibiotics or No Antibiotics after Urethroplasty For Hypospadias: An RCT Evaluating Short Term Surgical Outcomes.

Vivek Manchanda, Parveen Kumar, Sauradeep Dey, Mamta Sengar

Abstract read
In one paragraph

Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Vivek ManchandaDepartment of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Delhi, India.
Parveen KumarDepartment of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Delhi, India.
Sauradeep DeyDepartment of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Delhi, India.
Mamta SengarDepartment of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The use of prophylactic antibiotics after hypospadias repair is neither uniform nor evidence-based. This study is an effort to generate the evidence for association of prophylactic antibiotics on complications after urethroplasty for hypospadias. Methodology: It was a prospective randomized double-blinded controlled trial. The two groups underwent urethroplasty as per the choice of the surgeon. Group A received only a single antibiotic at induction and no antibiotics in the postoperative period, while Group B received antibiotics at induction and postoperatively for 10 days till the urethral stent was Results: A total of 158 patients were included in the trial. The two groups were similar in their demographic (age, birth order, weight, height, and associated anomalies) and pathological (severity of hypospadias, meatal stenosis, stretched penile length, and chordee) parameters, and they underwent similar procedures. Group A children had higher urine culture positivity after catheter removal but there was no difference in the complications (symptomatic urinary tract infection, surgical site infection, urethra-cutaneous fistula, urethroplasty dehiscence, meatal stenosis, and urethral stricture) among the two groups. Conclusions: Routine postoperative prophylactic antibiotics do not reduce surgical complications after urethroplasty for hypospadias repair. The use of prophylactic antibiotics may be avoided to reduce the incidence of antimicrobial resistance, reduce treatment costs, and prevent complications of antibiotic usage like

Indexed as

antibioticsAntibiotic stewardshipclean surgeryhypospadiaspostoperative complicationssurgical site infectionurine tract infection

Identifiers

PMID42064677
PMCPMC13127825

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.