Results of closure of urethrocutaneous fistulas after hypospadias repair

Abstract

Background: Urethrocutaneous fistulas are one of the major causes of morbidity after hypospadias repair. Methods: During the last 2.5 years, 26 patients underwent repair of 41 urethrocutaneous fistulas. These fistulas were repaired by a 3-layered closure method, by using meticulous surgical techniques aided by optical magnification. In large fistulas, a dermal subcutaneous flap was created and brought over the surgically repaired urethral fistula. Results: Twenty-four of the 26 patients with urethrocutaneous fistulas after hypospadias repair had fistula closure, with a 92% success rate. Conclusion: A high success rate was obtained with a multilayered closure using meticulous techniques to repair urethrocutaneous fistulas.