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Volume 14, Issue 6 (November 2012) 14, 900–902; 10.1038/aja.2012.85
A modified method for the treatment of urethral fistula after hypospadias repair
Chao Qin*, Wei Wang*, Shang-Qian Wang, Qiang Cao, Zeng-Jun Wang, Peng-Chao Li, Jie Li, Ning-Han Feng, Li-Xin Hua, Chang-Jun Yin and Wei Zhang
State Key Laboratory of Reproductive Medicine, Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
* These authors contributed equally to this work.
Correspondence: Dr ZJ Wang, (radiohead_qc@yahoo.com.cn)
published online 15 October 2012
| Abstract |
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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.
Keywords: hypospadias; repair; urethrocutaneous fistula
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