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.
Highlights
The term hypospadias comes from the Greek terms hypo and spadon which means below and gap respectively
Urethrocutaneous fistula development occurred on the third week after surgery in 39 patients, fourth week after surgery in 34 patients, and 3 first week after surgery in 32 patients
The data show that most fistulas were found in the age range of 2-15 years old with proximal hypospadias type, medium chordae, and Tubularized Incised Plate (TIP) Urethroplasty operative technique
Summary
The term hypospadias comes from the Greek terms hypo and spadon which means below and gap respectively. Hypospadias is a congenital abnormality in the form of external urethral meatus which opens in the ventral aspect of the penis proximal to the tip of glans penis [1,2]. This condition is often followed by the discovery of MUE in the ventral penis, chordae, and more dorsal skin folds (dorsal hood). Several literatures reported several conditions associated with urethrocutaneous fistula developments, including proximal hypospadias type, complicated surgical procedures, meatal stenosis, urethral strictures, urethral diverticulum, and infections [6]
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