Different Varieties of Urethrocutaneous Fistulae; A Single Solution
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Introduction: Most common cause of urethro cutaneous fistula is hypospadias surgery. There are other causes like congenital, iatrogenic (circumcision, priapism, urethral injury after penile fracture, TURP, HIFU), traumatic (penile deglove injury, partial amputation), malignancy, chronic infection (peri-urethral) and radiotherapy induced. There is no universal single technique mentioned in literature Materials and Methods: We have operated a total of 12 cases of urethrocutaneous fistulae during January 2013 to November 2016. The size of the fistulae was < 2cm in our study. The urethral cutaneous fistula ventral part was covered with a flap of Tunica vaginalis without tubularization, which was harvested through a small scrotal incision and mobilized via a subcutaneous tunnel into the penis underneath the buck's fascia over the urethra to cover the fistula site. Results: All 12 patients in this series single stage ventral onlay tunica vaginalis was applied by single surgeon and minimum 6 months follow up taken. Age of patient ranged from 7 year to 45 year. Mean surgical time was 100 minutes. Mean hospital stay was around 7 days. Two patients developed a wound infection and one developed scrotal hematoma. Other complications, such asurethral stenosis, intraurethral obstruction, urinary retention, difficulty voiding, and epidermal inclusion cysts, were not seen in the other patients during the six -month follow-up. Conclusion: The purpose of this study is to show results of tunica vaginalisonlay flap irrespective of the cause of fistula for upto 2 cm size single, primary fistula, at anterior urethra by a single surgeon.
Authors and Affiliations
Tapas Kumar Majhi, AnkitKayal . , Krishnendu Maiti, Tapan Kumar Mandal, Kaushal priyaanand, Charulata Bansal
Keywords
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- EP ID EP256177
- DOI 10.9790/0853-1609068285
- Views 63
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