Abstract

Objective: The aim of this study was to investigate the occurrence of primary, and recurrent urethrocutaneous fistulas detected after hypospadias surgery and the factors affecting the success of fistula repair.

Method: 34 cases who underwent urethrocutaneous fistula repair between 2015-2016 were retrospectively evaluated with the permission of the local ethics committee (2018-075). Age, meatal localization, surgical intervention, complications, fistula repair, and postoperative complications of fistula repair were evaluated.

Results: There was no statistically significant difference between the ages of the patients who did and did not develop fistula. In the evaluation made according to meatal (distal-proximal) localization a statistically significant difference was found. Of the 34 patients who underwent fistula repair, 9 patients (26.47%) (cases with 3 distal, 6 proximal hypospadias) developed recurrent fistula. Meatal stenosis was the most common cause of fistula in 8 cases. The rate of fistula formation was high in cases with proximal hypospadias, but it was not statistically significant to have proximal or distal hypospadias in fistula formation after fistula repair.

Conclusion: In our series, the likelihood of fistula formation was higher in proximal hypospadias. However, it was seen that the meatal localization was not statistically significant when the patients who presented with recurrent fistula were evaluated.

Atıf vermek için: Bostancı SA, Tiryaki HT. Hipospadias onarımı sonrası gelişen üretrakutanöz fistüller; 34 olgunun değerlendirilmesi. Çoc. Cer. Derg. 2019;33(2):60-4.