Solitary urethrocutaneous fistula managed by the PATIO repair.
OBJECTIVE
A novel technique has been described for repairing penile urethrocutaneous fistula: the PATIO ('preserve the tract and turn it inside out') repair. We report our experience with this technique in managing solitary urethrocutaneous fistula following primary hypospadias repair.


METHODS
Children with fistulae underwent the PATIO technique of repair. The inclusion criterion was solitary fistula of <4mm widest diameter.


RESULTS
Ten children underwent the procedure. The mean operating time was 22 min. In four of these children a healthy vascularized tunica vaginalis flap was interposed between the urethra and skin. No recurrence of fistula was noted.


CONCLUSIONS
The PATIO repair is simple and easy to perform, with low morbidity, and is reliable in treating solitary urethrocutaneous fistula <4mm in size.
Nerli
R B
RB
Division of Pediatric Urology, KLE University's JN Medical College, Belgaum, India. rajendranerli@yahoo.in
Metgud
Tanamaya
T
Bindu
S
S
Guntaka
Ajay
A
Patil
Shivagouda
S
Neelgund
S E
SE
Hiremath
M B
MB
D002648:Child; D002675:Child, Preschool; D062109:Dermatologic Surgical Procedures; D006801:Humans; D008297:Male; D010413:Penis / Q000473:pathology / Q000601:surgery; D012867:Skin / Q000473:pathology; D013536:Suture Techniques; D014521:Urethra / Q000473:pathology / Q000601:surgery*; D014548:Urinary Fistula / Q000473:pathology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*