A new analysis of 14 studies involving 2,625 boys who had hypospadias repair surgery found that the way surgeons stitch the urethra does not change the risk of complications. The study compared interrupted suturing (taking separate stitches) with continuous suturing (one long stitch).
Researchers looked at outcomes like fistulas, infections, narrowing, and wound separation. None of these complications showed a statistically significant difference between the two techniques. The only difference was a slightly longer operative time with interrupted suturing, but the average difference was less than 4 minutes and not considered clinically meaningful.
The analysis included both observational studies and randomized trials, which strengthens the findings. However, the authors note that larger, well-designed multicenter trials are still needed to confirm these results.
For parents and surgeons, this means that the choice of suturing technique can be based on surgeon preference and experience. Both methods appear to be equally safe and effective for boys undergoing this common surgery.