Results of closure of urethrocutaneous fistulas after hypospadias repair.
BACKGROUND
Urethrocutaneous fistulas are one of the major causes of morbidity after hypospadias repair.


METHODS
During the last 2.5 years, 26 patients underwent repair of 41 urethrocutaneous fistulas. These fistulas were repaired by a 3-layered closure method, by using meticulous surgical techniques aided by optical magnification. In large fistulas, a dermal subcutaneous flap was created and brought over the surgically repaired urethral fistula.


RESULTS
Twenty-four of the 26 patients with urethrocutaneous fistulas after hypospadias repair had fistula closure, with a 92% success rate.


CONCLUSIONS
A high success rate was obtained with a multilayered closure using meticulous techniques to repair urethrocutaneous fistulas.
Hayashi
Y
Y
Department of Urology, Nagoya City University Medical School, Nagoya, Japan.
Mogami
M
M
Kojima
Y
Y
Mogami
T
T
Sasaki
S
S
Azemoto
M
M
Maruyama
T
T
Tatsura
H
H
Tsugaya
M
M
Kohri
K
K
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D017577:Cutaneous Fistula / Q000601:surgery*; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D013524:Surgical Flaps; D013514:Surgical Procedures, Operative / Q000379:methods; D014521:Urethra / Q000473:pathology / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*