title: [Modified prepuce-degloving repair for urethrocutaneous fistula following hypospadias surgery].
abstract: OBJECTIVE
  To investigate the clinical effect and application value of the modified method of prepuce-degloving repair (PDR) in the treatment of urethrocutaneous fistula (UCF) following hypospadias surgery.
  
  
  METHODS
  We retrospectively analyzed 87 cases of UCF caused by hypospadias repair from May 2001 to December 2011, of which 61 were treated by simple closure or Y-V plasty of the fistula (group A), and the other 26 by modified PDR (group B). We compared the success rate of surgery and long-term recurrence between the two groups.
  
  
  RESULTS
  The total success rates of repair were 78.7 and 96.2% in groups A and B, respectively. Thirteen cases in group A did not respond to surgery, of which 6 failed to be cured by the second operation but later were treated successfully by modified PDR. In comparison, there was only 1 case of failure in group B, which was cured by a second PDR.
  
  
  CONCLUSIONS
  Modified PDR can significantly improve the success rate and reduce the recurrence rate of UCF after hypospadias surgery, which deserves wide clinical application.
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Zhao-Long
authors.initials: ZL
authors.lastname: Guan
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Shang-Qian
authors.initials: SQ
authors.lastname: Wang
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Jin-Liang
authors.initials: JL
authors.lastname: Liu
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Huang
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Gong
authors.initials: G
authors.lastname: Cheng
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Bian-Jiang
authors.initials: BJ
authors.lastname: Liu
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Chao
authors.initials: C
authors.lastname: Qin
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Ning-Hong
authors.initials: NH
authors.lastname: Song
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Li-Xin
authors.initials: LX
authors.lastname: Hua
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.
authors.forename: Zeng-Jun
authors.initials: ZJ
authors.lastname: Wang
mesh_terms: D002648:Child; D002675:Child, Preschool; D052816:Foreskin / Q000601:surgery; D006801:Humans; D007021:Hypospadias / Q000601:surgery; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014548:Urinary Fistula / Q000209:etiology* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male