PATIO-Repair zum Harnröhrenfistelverschluss

Abstract

The Patio repair for urethrocutaneous fistula is an outpatient, simply reproducible surgical technique without the necessity of transurethral catheterization. The short-term results are impressive; long-term results of a larger patient cohort will follow.

Defining the Indications of PATIO Technique for Urethrocutaneous Fistula Repair

“…The stump is held in the desired position with the help of a suture secured to the glans or fixed by an Angler lead. [ 10 ] Conger[ 7 ] brought the ends of the thread out of the urethra at a point about ½ inch from the fistula through the skin, where they are tied to each other. This is equivalent to creating another UCF and risking the possibility of a complication in the future; the authors are in favor of tying the thread to the tip of the glans as in the case of urethroplasty wherein the urethral stent is secured.…”

“…Eighteen studies have been short listed for evidence synthesis of which inversion of the UCF tract has been described in 13 only. [ 4 7 8 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ] The other five studies have described single ( n = 3) and double ligation of the UCF tract ( n = 2). Two entries each were identified for Kranz et al and Singh et al ; chronologically, the first one (Kranz et al , 2015, and Singh et al , 2018) was abstracts only while the later one[ 10 24 ] was complete studies, respectively.…”

“…[ 4 7 8 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ] The other five studies have described single ( n = 3) and double ligation of the UCF tract ( n = 2). Two entries each were identified for Kranz et al and Singh et al ; chronologically, the first one (Kranz et al , 2015, and Singh et al , 2018) was abstracts only while the later one[ 10 24 ] was complete studies, respectively. The data from the respective abstracts have been eliminated from the final calculations to avoid duplication.…”

“…Within the pooled cohort, data pertaining to the size of UCF are not available for 5 studies. [ 4 7 8 10 13 ] UCF <5 mm has been included in three studies[ 14 15 16 ] with 84.4% success (26/167 failures). In Yang et al , there was only 1 patient with a UCF size >4 mm; the UCF was coronal in location and was managed successfully with double ligation.…”