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Fistula after hypospadias repair assessment and management

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

El-Quttbi, Muntasser, Muhammad, Tamer Y., Abdel-Sattar, Ayman H.

Authors

Ekram, Amira Ahmad

Accessioned

2017-07-12 06:42:33

Available

2017-07-12 06:42:33

type

M.Sc. Thesis

Abstract

Urethrocutaneous fistula is the most common complication after hypospadias repair. Furthermore, with the improvement in suture materials and surgical techniques, such complications are increasingly unacceptable. Several techniques have been described for fistula repair after hypospadias surgery but it remains a disappointing problem to the patient and the surgeon. Simple closure is technically easy and not time consuming, but overlying suture lines are a potential risk for recurrence. Skin flaps (rotational and advancement skin flaps) are used for repairing fistulae that are too large for simple closure, provided that the local skin is pliable and adequate. Suprapubic diversion is important in those with large or multiple fistulae. The procedure done for those patients was primary closure and covering by buck’s fascia as a second layer. The success rate was 80% at the first attempt of closure.The rest of the patients 20% had recurrent urethrocutaneous fistula appeared during the period of follow up.They underwent regular dilatation to be revised after 6 months.The end result of successful repair was 90% which is accepted result for recurrent urethrocutaneous fistula.

Issued

1 Jan 2010

DOI

http://dx.doi.org/10.21473/iknito-space/38088

Details

Type

Thesis

Created At

28 Jan 2023