ClinicalTrials.gg
CompletedNCT03275519Updated Sep 7, 2017

Antibiotic Use in Distal Hypospadias Repair

An interventional study of Randomization to not receive prophylactic antibiotics after surgery. and Randomization to receive prophylactic antibiotics after surgery in Hypospadias, sponsored by Arkansas Children's Hospital Research Institute. Completed at 1 site in United States. Open to male participants aged 3 Months to 6 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-09-07.

Sponsored by Arkansas Children's Hospital Research Institute · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 6 months after the study started (first participant enrolled Jan 2015, registered Aug 2017).

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Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
3 Months to 6 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 20 studies in Hypospadias with a site in United States — 4 open to participants now, 5 under way, none of them phase 3. Hypospadias · United States.

Enrollment
13th of 18
48 · median 67
Started
2015
the only one that year
No phase
14 of 20
4 open now
Registered
9th of 20
by date
Lead sponsor
1 of 20
Arkansas Children's Hospital Research Institute

Among the 20 studies in Hypospadias with a site in United States, this one is the 13th largest by enrollment of the 18 interventional ones that give a count, is the only one that started in 2015, is one of 14 with no phase, and was the 9th registered.

Hypospadias

124 studies on the registry are indexed under Hypospadias; 35 are open to participants now.

Browse Hypospadias studies →

Open to participants now

4 of the 20 studies in Hypospadias with a site in United States are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 20 Hypospadias studies recruiting now, 4 (20%) set no upper age limit and 16 (80%) stop at 75 or younger; 18 take children under 18; 3 take healthy volunteers.

This study: 3 Months to 6 Years · male · healthy volunteers too.

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02

Study summary

Hypospadias is a common condition where the opening of the penis is not located at the tip, but along the underside of the penis. It is estimated to occur in 1/300 live male births, making it one of the most common birth defects. Degrees of hypospadias ranged from minor to severe depending on the location of the opening. Surgical repair is often required and involves placement of a catheter for the urine to drain with known urinary colonization found on prior retrospective studies. The current practice of using preventative antibiotics as long as the catheter is in place is conflicting with resent studies that show antibiotics may not be necessary to prevent urinary tract infections (UTIs).

The purpose of this study was to see how common symptomatic UTIs were after hypospadias repair surgery; and to see whether routine antibiotic use after surgery affected the rate of UTIs. Subjects were randomized to either receive antibiotics or no antibiotics after distal hypospadias repair. The research coordinator made follow-up phone calls with the family and the primary care provider (PCP) after stent removal, 30 days post surgery and after the 3 month post surgical visit.

Read the detailed description

Males undergoing distal hypospadias repair involving stent placement were randomized to either receive or not to receive antibiotics post-operative. All subjects did not receive intra-operative antibiotics. Routine follow-up included having the stent removed one week post-op and a return visit at 3 months. The research nurse made follow-up phone calls to the family or the (PCP) one week after the stent was removed and at one month post-op to see how things were going with the child and again after teh 3 month post surgical visit, if the subject did not return after multiple rescheduling attempts.

03

Conditions studied

  • Hypospadias

Keywords

  • distal hypospadias repair
  • urinary tract infection
  • prophylactic antibiotic use
04

Who can participate

Ages eligible
3 Months to 6 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Males undergoing primary distal hypospadias repair with open urethral stent drainage.

Exclusion criteria

Exclusion Criteria:

  • Males undergoing fistula repair or glandular hypospadias repair without incontinent urethral stent drainage and hypospadias repair of mid or more proximal degrees of hypospadias were excluded from this study.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Active comparator
    Antibiotics prophylaxis cohort

    Subjects were prescribed prophylactic antibiotics after the hypospadias surgery.

    Other: Randomization to receive prophylactic antibiotics after surgery

  • Active comparator
    Antibiotic-sparing cohort

    Subjects were not prescribed prophylactic antibiotics after the hypospadias surgery.

    Other: Randomization to not receive prophylactic antibiotics after surgery.

Interventions

  • OtherRandomization to not receive prophylactic antibiotics after surgery.

    No antibiotics were ordered after surgery.

  • OtherRandomization to receive prophylactic antibiotics after surgery

    In general, the antibiotic given is a combination sulfamethoxazole/ trimethoprim oral suspension (2-3 mg trimethoprim/kg by mouth once a day); or if indicated, nitrofurantoin (1mg/kg by mouth once daily). All subjects did not receive intraoperative antibiotics.

06

What researchers measure

Primary outcomes

  1. Prevalence of symptomatic UTI within 30 days post-surgery

    Assess the prevalence of symptomatic UTI in subjects receiving standard of care dispensation of prophylaxis versus subjects selected to an antibiotic-sparing cohort.

    Time frame: 30 days post surgery

Secondary outcomes

  1. Evaluation of surgical site infections (SSIs) and complications of hypospadias repair

    Surgical site infections (SSIs) are measured using physical assessments at the stent removal visit. Complications of hypospadias repair (urethral fistula, meatal stenosis, dehiscence, and diverticulum) are measured using physical assessments at the stent removal visit and/or contact with the family or the PCP office 1 week after the stent removal; at the 30 day post operative time point; and at the 3 month follow-op visit.

    Time frame: Approximately post surgery: 2 weeks (stent is in approximately 1 week and then 1 week after the stent is removed); 30 days; and 3 months

07

Study locations

1 site
  • Arkansas Children's Hospital
    Little Rock, Arkansas 72202, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2015 to primary completion in Feb 2017, 24 months.

Of 60 non-industry interventional studies with no phase under Hypospadias, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 39. This study's 24 months is above that.

Counting every sponsor, half of 60 studies reached it within 15 months; a quarter within 8 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 11, 2017
First posted
Sep 7, 2017
StartActual
Jan 19, 2015
Primary completionActual
Feb 17, 2017
CompletionActual
Apr 19, 2017
Last update
Sep 7, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 7, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03275519
Responsible party
Sponsor
First posted
Sep 7, 2017
Start date
Jan 19, 2015
Primary completion
Feb 17, 2017
Completion
Apr 19, 2017
Last update
Sep 7, 2017

Study contacts

Stephen Canon
principal investigator · Arkansas Children's Hospital, Pediatric Urology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.

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