Subcutaneous Tissue Coverage to Prevent Urethrocutaneous Fistula in Hypos- padias Repair / 대한비뇨기과학회지

Urethrocutaneous fistula is the most common complication of hypospadias surgery, Many techniques have been tried to prevent urethrocutaneous fistula. We introduce the technique of neourethral coverage using adjacent subcutaneous tissue or a dorsal pedicled subcutaneous flap in hypospadias repair. This method was used in a series of 25 cases between April 1996 and April 1997. We experienced only one urethrocutaneous fistula. The additional coverage of the neourethra with the subcutaneous tissue achieves the goal of non-overlapping suture lines and allows for increased vascularity. So, this technique appears to be effective in preventing urethrocutaneous fistula in hypospadias repair.