Inlaid labial versus bladder mucosal graft repair for complex urethral skin fistula.
- Author:
Jun LÜ
1
;
Hai-Dong WEN
1
;
Tian-Zhou PENG
2
;
Xiao-Ming ZHANG
1
;
Wen SHEN
1
;
Yi-Gao WU
1
;
Yong-Ping XUE
1
Author Information
- Publication Type:Journal Article
- Keywords: bladder mucosa; complex urethral skin fistula; hypospadias; labial mucosa
- MeSH: Cutaneous Fistula; surgery; Humans; Hypospadias; surgery; Incidence; Male; Postoperative Complications; Reconstructive Surgical Procedures; Recurrence; Urethra; surgery; Urinary Bladder; surgery; Urinary Fistula; surgery; Urologic Surgical Procedures, Male
- From: National Journal of Andrology 2016;22(7):621-625
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the effect of inlaid labial mucosal graft repair (LMGR) with that of bladder mucosal graft repair (BMGR) in the treatment of complex urethral skin fistula after hypospadias repair.
METHODSThis study included 55 cases of complex urethral skin fistula following hypospadias repair. We randomly assigned them to receive inlaid LMGR (n=36) or BMGR (n=19). After surgery, we compared the incidence of complications and recurrence rate of urinary fistula between the two groups of patients.
RESULTSThe success rates of operation were 91.7% and 84.2% in the LMGR and BMGR groups, respectively, and the penile appearance was desirable in both groups. Postoperative complications included 2 cases of urinary fistula and 1 case of urethral stricture in each group. There were no statistically significant differences between the two groups in the success rate of operation (P>0.05) or the incidence rate of postoperative complications (P>0.05).
CONCLUSIONSBoth inlaid LMGR and BMGR yield satisfactory results in the treatment of complex urethral skin fistula. However, LMGR involves less injury in mucosa collection and is easier to perform and therefore deserves more clinical attention.
