Five-year experience of urethrocutaneus fistula repair in single tertiary referral hospital: a retrospective study

Abstract

Background: Hypospadia is a congenital defect which is often found in boys. Surgical therapy has been introduced since 19th century and there are many techniques of it. One of post-operative complication in hypospadias is urethrocutaneous fistula. Objective: We aimed to investigate the characteristics of UCF patients for five years in Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia, according to age, previous hypospadias repair technique, and total fistula repair. Material and Methods: All urethrocutaneous fistula patients who had been hospitalized in our institution is analyzed retrospectively in terms of age, previous hypospadia operation technique, and history of urethrocutaneous fistula repair. The design of our study is descriptive. Results: We retrospectively evaluate thirty five urethrocutaneous fistula patients who had been hospitalized in Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia. The patients are mostly 11-15 years old (37.14%). Fistula events are mostly occured after undergoing tubularized incised plate (TIP) procedure (77.14%). Majority of operated patients who has no recurrent UCF episodes are they who do not have history of fistula repair. Conclusions: Majority of urethrocutaneous fistula patients are 11-15 years old, and undergoing TIP procedure. Most of recovered operated UCF patients are those who have no previous history of fistula repair.