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Paper Information

Journal:   THE JOURNAL OF NEPHRO-UROLOGY MONTHLY   NOVAMBER 2016 , Volume 8 , Number 6; Page(s) 0 To 0.
 
Paper: 

A SIMPLE METHOD FOR CLOSURE OF URETHROCUTANEOUS FISTULA AFTER TUBULARIZED INCISED PLATE REPAIR: PRELIMINARY RESULTS

 
 
Author(s):  SHIRAZI MEHDI, ARIAFAR ALI*, BABAEI AMIR HOSSEIN, ASHRAFZADEH ABDOSAMAD, ADIB ALI
 
* UROLOGY ONCOLOGY RESEARCH CENTER, SHIRAZ UNIVERSITY OF MEDICAL SCIENCES, SHIRAZ, IR IRAN
 
Abstract: 

Background: Urethrocutaneous fistula (UCF) is the most prevalent complication after hypospadias repair surgery. Many methods have been developed for UCFcorrection, and the best technique for UCFrepair is determined based on the size, location, and number of fistulas, as well as the status of the surrounding skin.
Objectives: In this study, we introduced and evaluated a simple method for UCF correction after tubularized incised plate (TIP) repair.
Methods: This clinical study was conducted on children with UCFs
£4mmthat developed after TIP surgery for hypospadias repair.
The skin was incised around the fistula and the tract was released from the surrounding tissues and the dartos fascia, then ligated with 5 - 0 polydioxanone (PDS) sutures. The dartos fascia, as the second layer, was covered on the fistula tract with PDS thread (gauge 5 - 0) by the continuous suture method. The skin was closed with 6 -0Vicryl sutures. After six months of follow-up, surgical outcomes were evaluated based on fistula relapse and other complications.
Results: After six months, relapse occurred in only one patient, a six-year-old boy with a single 4-mm distal opening, who had undergone no previous fistula repairs. Therefore, in 97.5% of the cases, relapse was non-existent. Other complications, such as urethral stenosis, intraurethral obstruction, and epidermal inclusion cysts, were not seen in the other patients during the six-month follow up period.
Conclusions: This repair method, which is simple, rapid, and easily learned, is highly applicable, with a high success rate for the closure of UCFs measuring up to 4mmin any location.

 
Keyword(s): URETHROCUTANEOUS FISTULA, HYPOSPADIAS, TUBULARIZED INCISED PLATE REPAIR
 
 
References: 
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Click to Cite.
APA: Copy

SHIRAZI, M., & ARIAFAR, A., & BABAEI, A., & ASHRAFZADEH, A., & ADIB, A. (2016). A SIMPLE METHOD FOR CLOSURE OF URETHROCUTANEOUS FISTULA AFTER TUBULARIZED INCISED PLATE REPAIR: PRELIMINARY RESULTS. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, 8(6), 0-0. https://www.sid.ir/en/journal/ViewPaper.aspx?id=570638



Vancouver: Copy

SHIRAZI MEHDI, ARIAFAR ALI, BABAEI AMIR HOSSEIN, ASHRAFZADEH ABDOSAMAD, ADIB ALI. A SIMPLE METHOD FOR CLOSURE OF URETHROCUTANEOUS FISTULA AFTER TUBULARIZED INCISED PLATE REPAIR: PRELIMINARY RESULTS. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY. 2016 [cited 2021May08];8(6):0-0. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=570638



IEEE: Copy

SHIRAZI, M., ARIAFAR, A., BABAEI, A., ASHRAFZADEH, A., ADIB, A., 2016. A SIMPLE METHOD FOR CLOSURE OF URETHROCUTANEOUS FISTULA AFTER TUBULARIZED INCISED PLATE REPAIR: PRELIMINARY RESULTS. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, [online] 8(6), pp.0-0. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=570638.



 
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