title: [Application of tunica vaginalis flap for multi-fistulas after urethroplasty in hypospadias].
abstract: OBJECTIVE
  To discussed a new technique for multi-fistulas after urethroplasty in hypospadias.
  
  
  METHODS
  8 cases with postoperative multi-fistulas, which were not successfully repaired by previous treatment, were reoperated with tunica vaginalis flap combined with urethral stent and elastic dressing. The multi-fistulas were located between glan and scrotum. The number of fistulas was 3-7 (median, 5).
  
  
  RESULTS
  Primary healing was achieved in all the 8 cases. The micturition and esthetic result were satisfied. 5 cases were followed up for 8-10 months with no recurrence of fistula. There was also no dysuria and penile curvature.
  
  
  CONCLUSIONS
  Tunica vaginalis flap combined with urethral stent and elastic dressing is an effective technique for multi-fistulas after urethroplasty. It is easily performed with reliable result.
authors.affiliation: Plastic Surgery Hospital of Chinese Academy of Sciences, Beijing, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Li
authors.forename: Sen-kai
authors.initials: SK
authors.lastname: Li
authors.forename: Chuan-de
authors.initials: CD
authors.lastname: Zhou
authors.forename: Feng-yong
authors.initials: FY
authors.lastname: Li
authors.forename: Yang-qun
authors.initials: YQ
authors.lastname: Li
authors.forename: Yong
authors.initials: Y
authors.lastname: Tang
authors.forename: Wen
authors.initials: W
authors.lastname: Chen
authors.forename: Zhe
authors.initials: Z
authors.lastname: Yang
authors.forename: Yu
authors.initials: Y
authors.lastname: Zhou
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery; D008297:Male; D010413:Penis / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D015607:Stents; D013524:Surgical Flaps; D013737:Testis / Q000601:surgery; D016896:Treatment Outcome; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*