Results of undiverted simple closure of 51 urethrocutaneous fistulas in boys.
Urethral fistulas are an inherent risk of hypospadias repair. Present-day repairs of hypospadias in which redundant skin is held to a minimum limit the applicability of skin flap advancement technique for closure. To avoid altering the cosmesis of the prior hypospadias repair, 51 urethrocutaneous fistulas were closed using a three-layer simple closure technique without urinary diversion. An 80 percent success rate was achieved following the initial closure. A second simple closure of those which failed also succeeded in 80 percent of the cases.
Redman
J F
JF
Department of Urology, University of Arkansas College of Medicine, Little Rock.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005402:Fistula / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D012871:Skin Diseases / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D014522:Urethral Diseases / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*