Our 23-Year Experience in Urethrocutaneous Fistulas Developing After Hypospadias Surgery
   
Yazarlar (5)
Mehmet Melih Sunay
Karabük Üniversitesi, Türkiye
Ayhan Karabulut
Kırşehir Ahi Evran Üniversitesi, Türkiye
Demokan Erol
Levent Emir
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı UROLOGY (Q3)
Dergi ISSN 0090-4295 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 02-2007
Cilt / Sayı / Sayfa 69 / 2 / 366–368 DOI 10.1016/j.urology.2006.12.012
Makale Linki http://dx.doi.org/10.1016/j.urology.2006.12.012
Özet
OBJECTIVES To determine the role of the fistula characteristics on the outcomes of repair in urethrocutancous fistulas that develop after hypospadias surgery.
METHODS A total of 160 patients who had undergone urethrocutancous fistula repair after hypospadias surgery were enrolled in this study. The prognostic significance of the site, size, and number of fistulas, number of the previous operations, and the techniques applied were analyzed by the appropriate statistical methods as the parameters of the study.
RESULTS The fistulas were localized at the distal, mid, or proximal penile region in 69 (43.2%), 60 (37.5%), and 31 (19.2%) patients, respectively. No statistically significant relation was found between the fistula site and the success rate (P > 0.05). The fistula size (2 mm or less versus greater than 2 mm) and the number of fistula repairs (single versus two or more) also did not affect the outcome (P > 0.05, Pearson chi-square and Fisher's exact tests).
CONCLUSIONS The site, size, and number of the fistula repair seemed to have no impact on the success rate. Well-known aspects of the modern hypospadias surgery (eg, delicate tissue handling, instruments, point coagulation, and vascularity of the tissues) probably play a role in the outcome.
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