title: Single stage hypospadias reconstruction without fistula.
abstract: During a 3 1/2-year period 206 consecutive patients underwent primary hypospadias repair. Of the patients 117 were 6 to 18 months old, 65 were 18 months to 5 years old and 24 were older than 6 years. In 175 patients a single stage reconstruction was performed using a vascularized skin flap for the neourethra. A modified 2-layer closure with optical magnification was performed, and a urethrocutaneous fistula developed in only 1 patient, who had undergone a single stage repair of perineal hypospadias. With the use of contemporary single stage hypospadias reconstructive techniques and a 2-layer closure of the neourethra, urethrocutaneous fistula can virtually be eliminated.
authors.affiliation: Division of Pediatric Urology, William Beaumont Hospital, Royal Oak, Michigan.
authors.forename: E J
authors.initials: EJ
authors.lastname: Kass
authors.forename: D
authors.initials: D
authors.lastname: Bolong
mesh_terms: D002648:Child; D002675:Child, Preschool; D005402:Fistula / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D012871:Skin Diseases / Q000209:etiology / Q000517:prevention & control; D014522:Urethral Diseases / Q000209:etiology* / Q000517:prevention & control; D014548:Urinary Fistula / Q000209:etiology* / Q000517:prevention & control