Analysis of therapeutic methods of surgical treatment for urethrocutaneous fistulas after urethroplasty

VernacularTitle:尿道修复术后尿瘘的手术疗效分析
Author: Qiang FU ; Yuemin XU ; Sanbao JIN ; Yinglong SA ; Jiong ZHANG ; Hong XIE ; Renjie CUI
Publication Type:Journal Article
Keywords: Urethroplasty; Urethrocutaneous fistula; Surgical procedures,elective
From: Chinese Journal of Urology 2013;34(9):691-693
CountryChina
Language:Chinese
Abstract: Objective To discuss the curative effect of different operative methods for the treatment of urethrocutaneous fistula (UCF) after urethroplasty.Methods Clinical data of 54 cases of UCF from January 2003 to July 2011 were collected.Simple suture,advancement skin flap,pedicle penile skin flap urethroplasty,tongue/buccal mucosa urethroplasty were performed according to the size,location,number and whether there was urethral stricture of UCF.The treatment effect was recored and analyzed.Results The success rate of UCF repair was 85％ (46/54).There were 4 patients cured after second surgery.The success rates of repair of UCF with simple suture,advancement skin flap,pedicle penile skin flap urethroplasty,tongue/buccal mucosa urethroplasty were 95％,76％,82％,and 83％,respectively.Postoperative recurrence was observed in 5 patients in 6 months after the surgery and 4 of them received the re-operation.Conclusion According to the principle and the individual circumstance,taking personalized operative methods may improve the success rate of the repair of all kinds of UCF.