Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous Fistulae
The tubularized incised plate (TIP) hypospadias repair is currently the most widely used urethroplasty technique. The most significant post-TIP complication is urethrocutaneous fistula (UCF) development. Tunneled tunica vaginalis flap (TVF) is a well-described technique for the repair of UCF. We ret...
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| Format: | Article |
| Language: | English |
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Wiley
2008-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2008/615928 |
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| author | Jonathan C. Routh James J. Wolpert Yuri Reinberg |
| author_facet | Jonathan C. Routh James J. Wolpert Yuri Reinberg |
| author_sort | Jonathan C. Routh |
| collection | DOAJ |
| description | The tubularized incised plate (TIP) hypospadias repair is currently the most widely used urethroplasty technique. The most significant post-TIP complication is urethrocutaneous fistula (UCF) development. Tunneled tunica vaginalis flap (TVF) is a well-described technique for the repair of UCF. We retrospectively reviewed all patients undergoing repeat repair of UCF after TIP repair from 2001 to 2005. Twelve boys underwent TVF repair at our institution for recurrent UCF. Fistulae ranged from distal penile to penoscrotal in location. Median surgical time was 45 minutes and no postoperative complications occurred. After a median follow-up of 32 months (range 16–48 months), no patient has yet had a recurrence of UCF. In conclusion, TVF repair is a successful technique for the treatment of UCF after previous failed repair. TVF is technically simple to perform and should be considered for treating UCF following TIP urethroplasty, particularly in a repeat surgical setting. |
| format | Article |
| id | doaj-art-0ce3597da4d242ada2edd4c93c08dde3 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2008-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-0ce3597da4d242ada2edd4c93c08dde32025-02-03T01:25:53ZengWileyAdvances in Urology1687-63691687-63772008-01-01200810.1155/2008/615928615928Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous FistulaeJonathan C. Routh0James J. Wolpert1Yuri Reinberg2Department of Urology, Mayo Clinic, Rochester, MN 55905, USADivision of Pediatric Urology, Pediatric Surgical Associates, Minneapolis, MN 55404, USADivision of Pediatric Urology, Pediatric Surgical Associates, Minneapolis, MN 55404, USAThe tubularized incised plate (TIP) hypospadias repair is currently the most widely used urethroplasty technique. The most significant post-TIP complication is urethrocutaneous fistula (UCF) development. Tunneled tunica vaginalis flap (TVF) is a well-described technique for the repair of UCF. We retrospectively reviewed all patients undergoing repeat repair of UCF after TIP repair from 2001 to 2005. Twelve boys underwent TVF repair at our institution for recurrent UCF. Fistulae ranged from distal penile to penoscrotal in location. Median surgical time was 45 minutes and no postoperative complications occurred. After a median follow-up of 32 months (range 16–48 months), no patient has yet had a recurrence of UCF. In conclusion, TVF repair is a successful technique for the treatment of UCF after previous failed repair. TVF is technically simple to perform and should be considered for treating UCF following TIP urethroplasty, particularly in a repeat surgical setting.http://dx.doi.org/10.1155/2008/615928 |
| spellingShingle | Jonathan C. Routh James J. Wolpert Yuri Reinberg Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous Fistulae Advances in Urology |
| title | Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous Fistulae |
| title_full | Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous Fistulae |
| title_fullStr | Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous Fistulae |
| title_full_unstemmed | Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous Fistulae |
| title_short | Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous Fistulae |
| title_sort | tunneled tunica vaginalis flap for recurrent urethrocutaneous fistulae |
| url | http://dx.doi.org/10.1155/2008/615928 |
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