Introduction: Hypospadias is a common condition which needs to be repaired within the first few years of life.However, the surgery is usually associated with several complications of which PRO L-THREONATE 144MG Urethrocutaneous Fistula (UCF) is the most common.Several surgical techniques have been described to correct these UCF.Use of a vascularized flap to repair this fistula is the current standard.
Aim: To assess the feasibility of using tunica vaginalis flap in repair of UCFs.Materials and Methods: The present study was an observational study where 32 patients with UCF resulting from a previous failed hypospadias repair were subjected to tunica vaginalis flap repair.These patients were followed-up to a mean duration of 18 months to look for recurrence of fistula and other fresh complications.Results: The study included 32 patients of whom 19 had a fistula after primary surgery, 9 had undergone 2 failed surgeries and 4 had undergone 3 previous attempts at hypospadias repair.
Majority (29 patients) had a Solar Charge Controllers single UCF.No scrotal haematoma or testicular complications were noted.Penile cosmesis was satisfactory as determined by HOSE scoring system.Erection seemed to be unaffected but could be a spurious result as majority of the patients were of pre-pubertal age.
After median follow-up of 18 months, two cases had recurrence of fistula; both occurred within 1 month of the surgery.Conclusion: Tunica vaginalis interposition flap repair of urethrocutneous fistula has good outcome.