A modified method for the treatment of urethral fistula after hypospadias repair.
Urethrocutaneous fistula (UCF) is a common complication of hypospadias surgery for severe hypospadias. We report our experience in the management of UCF following hypospadias surgery with a prepuce-degloving method (PDM). Our study included 87 patients who developed UCF after hypospadias repair from May 2001 to December 2011. Either simple closure or PDM was performed to repair the fistula. In total, 61 patients underwent a simple closure or Y-V plasty of the fistula, and 26 underwent a PDM repair. The success rate was 78.7% for simple closure or Y-V plasty and 96.2% for PDM repair (P<0.05). PDM repair represents a good choice for UCF repair after hypospadias, and our high 96.2% success rate demonstrates its applicability.
State Key Laboratory of Reproductive Medicine, Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Chao
C
Qin
Wei
W
Wang
Shang-Qian
SQ
Wang
Qiang
Q
Cao
Zeng-Jun
ZJ
Wang
Peng-Chao
PC
Li
Jie
J
Li
Ning-Han
NH
Feng
Li-Xin
LX
Hua
Chang-Jun
CJ
Yin
Wei
W
Zhang
D002648:Child; D002675:Child, Preschool; D017577:Cutaneous Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007021:Hypospadias / Q000150:complications / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000379:methods*