[Repair of urethrocutaneous fistula with double skin flap. Report of 32 cases]. / Réparation des fistules uréthrocutanées par double lambeau cutané. A propos de 32 cas.
Prog Urol
; 10(2): 261-4, 2000 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-10857144
ABSTRACT
OBJECTIVES:
Urethro-cutaneous fistula constitutes the main complication of urethroplasty for hypospadias. The frequency of this complication ranges from 12 to 90%. The multiplicity of fistula closure techniques, reflects the difficulty involved in repairing these lesions. The authors evaluated fistula repair by a double pedicle skin flap according to the Wise technique. MATERIAL ANDMETHODS:
32 patients were treated 18 had already undergone 34 attempted repairs of urethro-cutaneous fistulas complicating urethroplasties (9 Mathieu, 17 Duplay and 6 Leveuf) for anterior penile (9), middle penile (14) and penoscrotal hypospadias (9). In 14 cases, the Wise technique was the first procedure used to repair the fistula.RESULTS:
The authors obtained 29 successes. The 3 failures concerned fistulas after Duplay urethroplasties to correct penoscrotal hypospadias. The overall success rate of this technique in our series (90%) was therefore close to that reported by Wise (5 out of 6 successes), who described this technique in 1977.CONCLUSION:
The Wise technique is a good technique for repair of large, recurrent urethro-cutaneous fistulas after several attempts of repair.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Retalhos Cirúrgicos
/
Doenças Uretrais
/
Fístula Urinária
/
Fístula Cutânea
Limite:
Adolescent
/
Adult
/
Child
/
Humans
/
Male
Idioma:
Fr
Ano de publicação:
2000
Tipo de documento:
Article