A modified method for the treatment of urethral fistula after hypospadias repair

作     者：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 Wei Zhang 

作者机构：State Key Laboratory of Reproductive Medicine Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing 210029 China 

出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)

年 卷 期：2012年第14卷第6期

页      面：900-902页

核心收录：

学科分类：090603[农学-临床兽医学] 08[工学] 09[农学] 0906[农学-兽医学] 0802[工学-机械工程] 

基　　金：国家自然科学基金 Health Project of Jiangsu Province National Eleventh-Five Science and Technology Support Program of China 

主　　题：hypospadias repair urethrocutaneous fistula 

摘      要：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.