Management of the urethrocutaneous fistulae post-hypospadias repair

ABSTRACT

This work was carried out on 34 cases with urethrocutaneous fistulae post-hypospadias repair in the Reconstructive Surgery Unit of Al-Zahraa University Hospital. Reconstruction of urethro-cutaneous fistulae was achieved by two procedures. The first MAGPI procedure was applied for cases having coronal or subcoronal fistulae [10 cases] post hypospadias repair. All the fistulae in this group healed completely giving 100% success. The second Y-V flap procedure was applied for cases having subcoronal, shaft [distal, mid and proximal] and the penoscrotal fistulae. Perfect work emphasized the satisfactory results of the two procedures in reconstruction of the urethro-cutaneous fistulae post-hypospadias repair. These procedures are simple, one stage and successful with a low morbidity and a short period of hospitalization