RESULTS OF SURGICAL TREATMENT FOR SIMPLE URETHRAL FISTULA AFTER HYPOSPADIAS REPAIR: REPORT 52 PATIENTS
##plugins.themes.vojs.article.main##
Tóm tắt
Objective: Evaluate the results of surgery to treat simple urethral fstula after hypospadias surgery
Methods: Patients diagnosed with the simple urethral fstulas after hypospadias repair. Prospective study, case series description.
Results: In the period from March 2019 to July 2021, 52 patients had an average age 8.6 years old. Classifcation: fstula for frst repair in 32 patients (57.5%) and recurrent fstula in 17 patients (42.5%). 52 patients with 56 fstulas were classifed into coronal 21.4% (12/56), penile 78.6% (44/52 pts). No more prepuce in 77 patients (90.4%).. The technique: Fistula suture 10 patients (25%), fstula patch by rotational skin flap 18 patients (45%), urethroplasty 14 patients (26.9%). Results: The overall successful ratio for urethral fstula repair was 80,8% (42/52), recurrent fstula was 19.8% (10/52). The successful ratio for fstula for frst repair was 84.4% (27/42) and for recurrent fstula was 75% (15/42). The successful ratio of fstula suture was 95.3% (20/21), of fstula patch by rotational skin flap was 64.7% (11/17), of urethroplasty was 78.6% (11/14).
Conclusion: Depending on the severity of the urethral fstula, surgical techniques such as fstula suture, fstula patch or urethral reconstruction are selected to have a high success rate
##plugins.themes.vojs.article.details##
Từ khóa
Hypospadias, Urethral fstula
Tài liệu tham khảo
hypospadias surgery. Transl Androl Urol 2014;3(2):196-204. https://doi.org/10.3978/j.issn.2223-4683.2014.04.03
2. Tran NB, Tran NS. Evaluate the results of treating urethral fstula after hypospadias repair. Journal of Medicine and Pharmacy - Hue University of Medicine and Pharmacy - Special issue - August 2017: 84 -87.
3. Le AD, Tran NS. Treatment of recurrent urethral fstula and complicated urethral fstula after hypospadias surgery. Ho Chi Minh City City Journal of Medicine 2020;24(6):39-45.
4. Mohamed S, Mohamed N, Esmael T et al. A simple procedure for management of urethrocutaneous fstulas; post-hypospadias repair. Afr J Paediatr Surg 2010;7(2):124-128.https://doi.org/10.4103/0189-6725.62844
5. Muruganandham K, Ansari MS, Dubey D. Urethrocutaneous fstula after hypospadias repair: outcome of three types of closure techniques. Pediatr Surg Int 2010;26(3):305-308. https://doi.org/10.1007/s00383-009-2490-z
6. Shankar KR, Losty PD, Hopper M et al. Outcome of hypospadias fstula repair. BJU Int 2002;89(1):103-105.
7. Shehata S, Hashish M. Management of post Hypospadias urethral fstula. Current Concepts of Urethroplasty 2011:47-60.
8. Awad SMM. A simple novel technique [PUIT] for closure of urethrocutaneous fstula after hypospadias repair: Preliminary results. Indian J Plast Surg 2005;38:114-118. http://dx.doi.org/10.1055/s-0039-1699117
9. Srivastava RK, Tandale MS, Panse N et al. Management of urethrocutaneous fstula after hypospadias surgery – An experience of thirty-fve cases. Indian J Plast Surg 2011;44(1):98-103. https://doi.org/10.4103/0970-0358.81456.