Urethro-cutaneous fistula after hypospadia repair: a single institution study

Abstract

Urethro-cutaneous fistula (UCF) is one of the most frequently seen complications of hypospadias surgery requiring reoperation; it occurs with an incidence of between 4% and 28%. Risk factors associated with the development of UCF can be classified as preoperative, intraoperative or postoperative. The aim of this study was to determine the association of perioperative risk factors and the development of urethrocutaneous fistula after hypospadias repair. A retrospective review of patients who had undergone hypospadias repair at Kenyatta National Hospital between 2013 and 2017 was conducted. 114 patient records were retrieved. The incidence of UCF was 47%. Risk factors that were significantly associated with UCF are hypospadias type (p=0.028), lack of a protective intermediate layer (p=0.002), and presence of postoperative complications (p=0.001). Age at surgery, suture material, type of repair and use of catheter/stents were not significant factors. Multivariate analysis showed wound infection and meatal stenosis as the most significant factors associated with UCF development.

Clinical Profiles and Surgical Outcome of Hypospadias Repair at a Teaching Hospital in Ethiopia

“…Mammo TN et al found 59.7% and 34% rates of complications in those with severe and no chordee, respectively ( 12 ). On the other hand, the current study and results from other literature found no statistically significant correlation between complications of hypospadias surgery and factors like age at repair, presence of concomitant urogenital anomalies and surgical technique performed ( 2 , 7 , 11 , 31 ). In contrary to this, other similar studies done in Africa, western and globally demonstrated a significant effect of these factors in the occurrence of postoperative complications ( 2 , 3 , 12 , 16 , 18 , 21 , 26 ).…”

Hyperbaric Oxygen Therapy for Reconstructive Urology Wounds: A Case Series

“…Local infection is the most common cause of a fistula. Within the first two weeks after surgery, infection sets in, contributing considerably to the high percentage of fistulae that develop within the first month; 12 this is when HBOT plays an important role in preventing infection. There are several ways to repair UCFs, but those that use mobilized flaps to patch the fistula have better outcomes.…”