Single Stage Hypospadias Reconstruction without Fistula

Kass, Evan J.; Bolong, David

doi:10.1016/s0022-5347(17)39510-1

Cited by 47 publications

(13 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of urethrocutaneous fistula after hypospadias repair varies from surgeon to surgeon. Kass and Bolong [12] reported just 1 patient (0.48%) with fistula development out of 206 cases of hypospadias repairs. Sarhan et al [13] reported 47 patients (9.4%) with development of fistula out of 500 cases of hypospadias repairs.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for the Development of Urethrocutaneous Fistula after Hypospadias Repair: A Retrospective Study

et al. 2012

View full text Add to dashboard Cite

PurposeThe purpose of this study was to investigate the risk factors for urethrocutaneous fistula development after hypospadias repair.Materials and MethodsBetween January 1990 and May 2010, 348 patients underwent hypospadias repair. This study included 294 patients who were followed up for more than 6 months. Potential risk factors for the development of fistula after operation included age, location of hypospadias, type of hypospadias repair, suture materials and methods, methods and duration of catheterization, combined congenital urologic disorders, timing of presentation and repair of fistula, and location of fistula. Data were analyzed retrospectively. Binary logistic regression analysis was used for univariate and multivariate analysis.ResultsOut of 294 patients, 63 patients (21.4%, 63/294) developed urethrocutaneous fistulas after hypospadias repair. In the univariate analysis, fistula formation was statistically related with type of hypospadias and type of hypospadias repair. In the multivariate analysis with stratification by hypospadias site, however, only the location of hypospadias was a significant independent risk factor in urethrocutaneous fistula development after hypospadias repair (p<0.001).ConclusionsOur 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 disorders were not related to the development of urethrocutaneous fistulas.

show abstract

Section: Discussionmentioning

confidence: 99%

Risk Factors for the Development of Urethrocutaneous Fistula after Hypospadias Repair: A Retrospective Study

et al. 2012

View full text Add to dashboard Cite

show abstract

“…The best postoperative results with the Mathieu proce dure were reported by Kass and Bolong [27] (2.4%) and Mathieu [3] himself (2.5%). More often, a complication rate of about 10% is noted in the literature.…”

Section: Repair Of Uncomplicated First Recurrencementioning

confidence: 92%

“…If the procedure is performed at a lower frequency, more than 50% complications can occur [28], On the other hand, Kass and Bolong [27] could avoid fis tulas by performing a two-layer suture technique: only 1 of 117 patients showed a fistula after one-stage repair in the perineal meatal location.…”

Section: Hypospadias Repairmentioning

confidence: 99%

Recent Considerations for Hypospadias Repair: Results of 252 Operations from 1985 to 1990

Goepel¹,

Otto²,

Kröpfl³

et al. 1996

Eur Urol

View full text Add to dashboard Cite

“…Incidence of fistula varies from 0[33] to 23%. [7] Incidence of fistula is less in urethral plate preservation procedures like TIP and onlay flap as compared to inner prepucial flap and tube urethroplasty.…”

Section: Complicationsmentioning

confidence: 99%

Acute postoperative complications of hypospadias repair

Bhat

Mandal

2008

Indian J Urol

View full text Add to dashboard Cite

PurposeComplications in hypospadias surgery are higher than other reconstructive procedures. The incidence of complications can be reduced if proper preventive measures are taken. The review aims to highlight incidences, causes, and preventive measures of acute complications of hypospadias repair.Materials and MethodsLiterature reports were reviewed in Pubmed by giving the key word acute complications of hypospadias repair, wound infection, wound dehiscence, flap necrosis, edema, penile torsion, urethral fistula, bleeding and hematoma and urethral stents problems. Summaries of all articles were reviewed with full text of relevant article and results were analyzed.ResultsBesides mentioning the complications of hypospadias repair in individual articles on the subject, we did not come across any separate article on this subject in the published English literature. Fistula is the commonest complication followed by edema and penile torsion.ConclusionsMost acute complications can be prevented with adherence to principles of plastic and microsurgery, meticulous preoperative planning, and judicious postoperative care. Deviation from these principles may lead to disaster and even failure of the repair. The aim in hypospadias surgery should be following these principles and bring down the complication rates < 5% in distal hypospadias and < 10% in proximal hypospadias.

show abstract

Single Stage Hypospadias Reconstruction without Fistula

Cited by 47 publications

References 20 publications

Risk Factors for the Development of Urethrocutaneous Fistula after Hypospadias Repair: A Retrospective Study

Risk Factors for the Development of Urethrocutaneous Fistula after Hypospadias Repair: A Retrospective Study

Recent Considerations for Hypospadias Repair: Results of 252 Operations from 1985 to 1990

Acute postoperative complications of hypospadias repair

Contact Info

Product

Resources

About