Skin bridge a new operation for coronal urethrocutaneous fistula [Al Gyoushy operation]

ABSTRACT

To evaluate our novel reconstructive technique to solve the problems of coronal and juxta-coronal penile fistula. Eleven patients 5 to 22 years old [mean age 14 years] underwent one stage skin bridge operation for repair of coronal urethrocutaneous fistula of different etiologies between 1998 and 2002.The size of fistula ranged from 4 to 20 mm in maximum diameter. Result of follow up revealed that nine of 11 patients [82%] had complete healing with good urine stream. One patient developed small fistula and was treated by simple closure while another patient failed due to graft infection. One stage Skin bridge operation is a highly successful option for repairing coronal urethrocutaneous fistulae even recurrent ones, whatever their etiology and size