Muhammad Aslam, Obaidullah, Naeem Mumtaz.
Outcome of urethrocutaneous fistula repair after hypospadias
Pak J Med Res Jan - Mar 2005;44(1):23-6.
Department of Surgery, Hayyatabad Medical Complex, Peshawar

Objectives: Analyze the outcome of urethrocutaneous fistula repair after Hypospadias surgery. Materials and Methods: It is a descriptive study carried out during 1997-2003. Patients underwent for urethrocutaneous fistula repair were included. Patients were followed for 2 weeks, 3 months, 6 months and 1 year period. Results: 52 patients of post Hypospadias repair fistulae with 76 fistulas were operated. 71% had single fistula while 29% had more than one fistula. Simple closure was done in 68 (89%) fistulae. Success rate was 65% to 100%. Discussion: While only 33% of our patients had proximal hypospadias, 44.23 % were hypospadias cripples. While 4 of our patients (7.69%) had meatal stenosis needing Meatotomy and five adult patients (9.6 %) had erection episode history in early postoperative period, in rest of the patients no obvious cause was found. In 37 patients (48.68 %) fistula site was at corona or distal penile. Conclusions: Optimal results can only be achieved by adhering to the basic principals of plastic surgery including gentle tissue handling, using fine sutures, avoidance of opposing suture lines, absolute Haemostasis and tension free anastomosis.

Category: Urology
Keywords: Urethrocutaneous Fistula. Fistula. Hypospadias. Penis.

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