NDLI: Tubularized incised plate urethroplasty for the treatment of penile fistulas after hypospadias repair.

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Tubularized incised plate urethroplasty for the treatment of penile fistulas after hypospadias repair.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Karakus, O. Z. Ates, O. Tekin, A. Hakgüder, G. Olguner, M. Akgür, F. M.
Description	Author Affiliation: Karakus OZ ( Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey. Electronic address: osman.karakus@deu.edu.tr.); Ates O ( Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey.); Tekin A ( Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey.); Hakgüder G ( Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey.); Olguner M ( Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey.); Akgür FM ( Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey.)
Abstract	OBJECTIVE: Urethrocutaneous fistula is the most common complication of hypospadias repair. Tubularized incised plate urethroplasty (TIPU) has been used for the management of distal fistulas. This study reports the usage of TIPU in the treatment of large penile fistulas. MATERIALS AND METHODS: Between April 2002 and September 2012, 15 patients with large penile fistulas who were managed with TIPU were included in the study. The fistulas were sited along the penile shaft from proximal to distal penile localization. Glanular and coronal fistulas were excluded. The surgical technique was completed according to the standard TIPU technique. The surrounding scar tissue of the fistula was circumferentially excised, and the urethral plate at the level of the fistula was incised to provide performance of loose urethral tubularization. A urethral stent was kept for 5-7 days. RESULTS: The mean age of the patients was 7.3 ± 3.1 years. Primary operation of these patients was tubularized preputial island flap (n = 6), on-lay preputial island flap (n = 4), and TIPU (n = 5). The sites of the hypospadias fistulas were as follows; penoscrotal (three), mid-penile (eight) and subcoronal (four). Fistulas recurred in two patients after fistula repair. The postoperative follow up of the patients was 12.4 ± 7.7 months. CONCLUSION: TIPU may be used safely for the treatment of fistulas after hypospadias repair.
File Format	HTM / HTML
ISSN	14775131
Issue Number	3
Volume Number	10
e-ISSN	18734898
Journal	Journal of Pediatric Urology
Language	English
Publisher	Elsevier
Publisher Date	2014-06-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Urology Discipline Pediatrics Fistula Surgery Hypospadias Penile Diseases Penis Postoperative Complications Surgical Flaps Urologic Surgical Procedures, Male Methods Adolescent Child Child, Preschool Etiology Follow-up Studies Humans Infant Male Recurrence Retrospective Studies Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article
Subject	Urology Pediatrics, Perinatology and Child Health

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