Study of Causes Responsible for Urethrocutaneous Fistula after Hypospadias Repair in Tertiary Care Centre
Creators
- 1. Senior Resident, Department of Urology, PMCH, Patna
- 2. Associate Professor, Department of Urology, PMCH, Patna
- 3. Assistant Professor, Department of Skin & VD, PMCH, Patna
- 4. Professor, Department of Urology, PMCH, Patna
Description
Background and Objective: Urethro-cutaneous fistula after hypospadias repair remains a significant problem despite advances in surgical techniques. The incidence of urethrocutaneous fistula development varies from 4 to 28 %. In the case of severe proximal hypospadias, two – stage hypospadias, repair had previously been widely performed because of the high complication rate. The Purpose of this study was to investigate the various factors associated with the development of urethrocutaneous fistula development hypospadias repair. Materials and Methods: Between January 2017 and December 2020, 312 patients underwent hypospadias repair. This study included 252 patients who were followed up for more than 6 months. Potential risk factors studied for the development of fistula after operation included age, location of hypospadias, type of hypospadias repair, suture materials, methods and duration of catheterization. Data were analyzed retrospectively. Results: Out of 252 patients, 54 patients (21.4 %, 54/252) developed urethrocutaneous fistula after hypospadias repair. Fistula formation was statistically related with type of hypospadias and type of hypospadias repair. In the multivariate analysis, only the location of hypospadias was a significant independent risk factor in urethrocutaneous fistula development after hypospadias repair (p value-0.001). Conclusions: Our results suggest that the risk of developing urethrocutaneous fistula after hypospadias repair is associated with the location of hypospadias (more proximal – type hypospadias). Type of hypospadias repair, suture materials, suture techniques, and number of other combined urologic disorder were not related to the development of urethrocutaneous fistulas.
Abstract (English)
Background and Objective: Urethro-cutaneous fistula after hypospadias repair remains a significant problem despite advances in surgical techniques. The incidence of urethrocutaneous fistula development varies from 4 to 28 %. In the case of severe proximal hypospadias, two – stage hypospadias, repair had previously been widely performed because of the high complication rate. The Purpose of this study was to investigate the various factors associated with the development of urethrocutaneous fistula development hypospadias repair. Materials and Methods: Between January 2017 and December 2020, 312 patients underwent hypospadias repair. This study included 252 patients who were followed up for more than 6 months. Potential risk factors studied for the development of fistula after operation included age, location of hypospadias, type of hypospadias repair, suture materials, methods and duration of catheterization. Data were analyzed retrospectively. Results: Out of 252 patients, 54 patients (21.4 %, 54/252) developed urethrocutaneous fistula after hypospadias repair. Fistula formation was statistically related with type of hypospadias and type of hypospadias repair. In the multivariate analysis, only the location of hypospadias was a significant independent risk factor in urethrocutaneous fistula development after hypospadias repair (p value-0.001). Conclusions: Our results suggest that the risk of developing urethrocutaneous fistula after hypospadias repair is associated with the location of hypospadias (more proximal – type hypospadias). Type of hypospadias repair, suture materials, suture techniques, and number of other combined urologic disorder were not related to the development of urethrocutaneous fistulas.
Files
IJPCR,Vol16,Issue1,Article101.pdf
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(272.8 kB)
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Additional details
Dates
- Accepted
-
2024-01-12
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article101.pdf
- Development Status
- Active
References
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