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...

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Bibliographic Details
Published in	Asian journal of andrology Vol. 14; no. 6; pp. 900 - 902
Main Authors	Qin, Chao, Wang, Wei, Wang, Shang-Qian, Cao, Qiang, Wang, Zeng-Jun, Li, Peng-Chao, Li, Jie, Feng, Ning-Han, Hua, Li-Xin, Yin, Chang-Jun, Zhang, Wei
Format	Journal Article
Language	English
Published	China Medknow Publications & Media Pvt. Ltd 01.11.2012 Nature Publishing Group
Subjects	Child Child, Preschool Cutaneous Fistula - etiology Cutaneous Fistula - surgery Humans Hypospadias - complications Hypospadias - surgery Male Original PDM Postoperative Complications - surgery UCF Urethra - surgery Urethral Diseases - etiology Urethral Diseases - surgery Urinary Fistula - etiology Urinary Fistula - surgery Urogenital Surgical Procedures - methods 修复关闭尿道并发症治疗管理经验
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ISSN	1008-682X 1745-7262 1745-7262
DOI	10.1038/aja.2012.85

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Summary:	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.
Bibliography:	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. 31-1795/R hypospadias; repair; urethrocutaneous fistula ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 These authors contributed equally to this work.
ISSN:	1008-682X 1745-7262 1745-7262
DOI:	10.1038/aja.2012.85