Durham Smith Vest-Over-Pant Technique: Simple Procedure for a Complex Problem (Post-Hypospadias Repair Fistula).
Urol Int
; 99(1): 29-35, 2017.
Article
em En
| MEDLINE
| ID: mdl-28118624
ABSTRACT
OBJECTIVE:
Urethrocutaneous fistula, which occurs after hypospadias surgery, is often a baffling problem and its treatment is challenging. The study aimed to evaluate the results of the simple procedure (Durham Smith vest-over-pant technique) for this complex problem (post-hypospadias repair fistula).METHODS:
During the period from 2011 to 2015, 20 patients with post-hypospadias repair fistulas underwent Durham Smith repair. Common age group was between 5 and 12 years. Site wise distribution of fistula was coronal 2 (10%), distal penile 7 (35%), mid-penile 7 (35%), and proximal-penile 4 (20%). Out of 20 patients, 15 had fistula of size <5 mm (75%) and 5 patients had fistula of size >5 mm (25%). All cases were repaired with Durham Smith vest-over-pant technique by a single surgeon. In case of multiple fistulas adjacent to each other, all fistulas were joined to form single fistula and repaired.RESULTS:
We have successfully repaired all post-hypospadias surgery urethrocutaneous fistulas using the technique described by Durham Smith with 100% success rate.CONCLUSION:
Durham Smith vest-over-pant technique is a simple solution for a complex problem (post hypospadias surgery penile fistulas) in properly selected patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pênis
/
Procedimentos Cirúrgicos Urológicos Masculinos
/
Retalhos Cirúrgicos
/
Doenças Uretrais
/
Técnicas de Sutura
/
Fístula Urinária
/
Fístula Cutânea
/
Hipospadia
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Child
/
Child, preschool
/
Humans
/
Male
Idioma:
En
Revista:
Urol Int
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Índia