Risk Factors of Urethro-cutaneous Fistula Development in Hypospadias Surgery

Authors

  • Wien Permana Airlangga Uiversity
  • Tarmono Tarmono
  • Johan Renaldo

DOI:

https://doi.org/10.21776/ub.jkb.2021.031.03.9

Keywords:

Hypospadias, urethrocutaneous fistula development, urethroplasty

Abstract

Urethrocutaneous fistula development is the most common complication found hypospadias surgery. Several factors associated with the incidence of fistulas are the age at the time the surgery. The type of hypospadias, the degree of chordae, the operative technique applied and catheter type. This study aimed to determine the risk factors associated with the urethro-cutaneous fistula development in hypospadias surgery. The results showed that from 310 hypospadias patients undergoing urethroplasty, urethra cutaneous fistula development occurred among 105 patients (30.6%) with a mean age of surgery 10.89+6.27 years. Hypospadias type has a significant difference with the incidence of urethro-cutaneous fistula development (p = 0.027). Age (p = 0.615), degree of chordae (P=0.805), operative technique (P=0.901) and catheter type (P=691) do not have a significant impact to urethro-cutaneous fistula development. It can be concluded that operative urethroplasty has a risk of urethra-cutaneous fistula that associated with hypospadias type.

Downloads

Download data is not yet available.

Author Biography

Wien Permana, Airlangga Uiversity

Residen Departemen Of Urology, Faculty Of Medicine, Airlangga University Soetomo  Academic General Hospital

References

Giannantoni, A. Hypospadias Classification and Repair: The Riddle of the Sphinx. European Urolog, 2011 : p1190–1191

McAninch,J. Disorder of the Penis & Male Urethra. In : Tanagho EA and McAninch JW (editors). Smith's General Urology 17th edition. 2008. Lange Medical Book/McGraw-Hill : New York , p629-31.

Radmayr,C et all. European Association of Urology Guidelines on Pediatric Urology. 2019 : p21-6.

Warren TS, Nicol CB. Hypospadias. In : Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA (editors). Campbell-Walsh Urology 11th edition. Philadelphia : Saunders Elsevier, 2012 : p3399-429

Chung JW, Choi SH, Kim SK, Chung KC. Risk Factor For the Development of Urethrocutaneous fistula after hipospadia Repair : A restrospective Study. Korean J Urol 2012;53:711-715

Fariz M, Rodjani A, Wahyudi I. Risk Factor For Uretrhoructaneus Fistula After One Stage Hipospadia Repair. JURI, Vol. 18. No. 2. July 2011: 48-54

Shehata S, Hashish M. Management of Post Hypospadias Urethral Fistula. . Current Concepts of Urethroplasty. Dr Ivo Donkov (Ed.). InTech. Available from: http://www.intechopen.com/b ooks/current-concepts-ofurethroplasty/management-ofpost-hypospadias-urethralfistula

Yildiz, T., Tahtali, I. N., Ates, D. C., Keles, I., & Ilce, Z. (2013). Age of patient is a risk factor for urethrocutaneous fistula in hypospadias surgery. Journal of Pediatric Urology, 9(6), 900–903. doi:10.1016/j.jpurol.2012.12.007

Huang, L.-Q., Ge, Z., Tian, J., Ma, G., Lu, R.-G., Deng, Y.-J.,Guo, Y.-F. (2015). Retrospective analysis of individual risk factors for urethrocutaneous fistula after onlay hypospadias repair in pediatric patients. Italian Journal of Pediatrics, 41(1). doi:10.1186/s13052-015-0140-8

Ulman I, Erikci V, Avanoglu A. Gokdemir A. The Effect Suturing Technique and Material on Complication Rate following Hipospadia Repair. Eur J Pediatr Surg. 1997 Jun;7(3):156-7. doi: 10.1055/s-2008-1071079

Latifoglq O, Yavuzer R, Unal S, Cavusoglu T, Atabay K. Surgical Treatment of Urethral Fistulas Following Hypospadias Repair.. Lippincott Williams and Wilkins. 2000. p: 381-86

El-Mahrouky, A., McElhaney, 1., & Bartone, FF (1987). In vitro comparison of the properties of polydioxanone, polyglycolic acid and catgut sutures in sterile and infected urine. J Uro, 138, 913-915

Saleh M., Mohamed, N., Esmael, T., & Khaled, S (2010). A simple procedure for management of urethrocutaneous fistulas; post-hypospadias repair. Afr J Paediatr Surg,7, 124-128.

ElBakry, A (2001). Management of urethrocutaneous fistula after hypospadias repair: 10 years' experience. B J U Int, 88, 590-595

Shehata, SMK, El-Heindey MH, & El-Bahnasy AM (2006). Glanular closure during the tubularized incised plate procedure: A prospective randomized study. Ann Pediatr Surg, 2, 1, 39-44

Hadidi, AT (2004). Complications and Late Sequelae, in: Hypospadias Surgery An Illustrated Guide. Ahmed T. Hadidi and Amir F.Azmy, 23: 273-283, Springer-Verlag, Berlin Heidelberg, New York

Shehata, SMK, Elian AA, Soliman SM, & Hassan HS (2007). Re-Operative mid penile hypospadias repair: Experience in 34 cases. Ann Pediatr Surg, 3, 3, 156-163

Prada WD, Odih T, Burhanuddin L. Hubungan Insiden Fistula Uretrokutan dengan Tipe Hipospadia Pasca Operasi Uretroplasty. JOM FK Volume 1 no 2. Oktober 2015

Huang et al. Retrospective analysis of individual risk factors for urethrocutaneous fistula after onlay hypospadias repair in pediatric patients. Italian Journal of Pediatrics (2015) 41:35

Braga, L. H. P., Pippi Salle, J. L., Lorenzo, A. J., Skeldon, S., Dave, S., Farhat, W. A., … Bagli, D. J. (2007). Comparative Analysis of Tubularized Incised Plate Versus Onlay Island Flap Urethroplasty for Penoscrotal Hypospadias. The Journal of Urology, 178(4), 1451–1457. doi:10.1016/j.juro.2007.05.170

Gardikis, S., Solutanidis, C., Deftereos, S., Kambouri, K., Limas, C., & Vaos, G (2004). Suprapubic catheter knotting: An unusual complication. Int Urol Nephrol, 36, 537– 539

Downloads

Published

2021-02-27

Issue

Vol. 31 No. 3 (2021)

Section

Research Article

License

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).