POST CIRCUMCISION AND HYPOSPADIAS REPAIR URETHROCUTANEOUS FISTULA :TWO VS THREE LAYERS REPAIR

Authors

Khaled Kandeel, Pediatric Surgery Unit, Faculty of Medicine, Mansoura University.

Article Type

Original Study

Abstract

Persistent urethrocutaneous fistu­la following hypospadias repair and circumcision presents a surgical chal­lenge with a high rate of recurrence. The present series evaluates the val­ue of reinforcement of the repair by interpositioning of a vascularized flap. 24 boys suffering from urethral fistula (4 following circumcision and 20 fol­lowing hypospadias surgery) were equally divided into two groups. The 1st group were managed by modified two layers closure with skin flap cov­erage and the 2nd group were man­aged by 3 layers closure with inter-positioned flap. Cases were followed up for 6-20 months. The success rate in 1st group was 66.6% versus 91% in the 2nd group (raised to 75% ver­sus 100% after spontaneous closure of one fistula in each group). The present series shows that ad- dition of interposition flap to the repair of urethrocutaneous fistula appears to reduce the incidence of fistula recur­rence significantly.

Recommended Citation

Kandeel, Khaled (2002) "POST CIRCUMCISION AND HYPOSPADIAS REPAIR URETHROCUTANEOUS FISTULA :TWO VS THREE LAYERS REPAIR," Mansoura Medical Journal: Vol. 31 : Iss. 1 , Article 3.
Available at: https://doi.org/10.21608/mjmu.2002.127081

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