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Abstract

BACKGROUND:Presence of various techniques in hypospadias repair is attributed to the relatively commoncomplications following those repairs which shown as an immediate and long term complication.Urethrocutanous fistula is the commonest complication of the hypospadias repair , with a reportedincidence of 4-25%. The incidence is varying with severity of hypospadias, surgical techniques, andexperience of the operating surgeon.OBJECTIVE:To evaluate the efficacy of using a penile skin advancement flap with penile dartos Interposition torepair hyposapadial fistula.PATIENTS AND METHODS:Between October 2017 and March 2018, eleven boys with urethrocutaneous fistula were included inthis study. Their age ranged between (3 years – 10 years ) . All were repaired with penile skinadvancement flap with dartos fascia as an interposed reinforcing layer in Al shaheed GhaziAl- Hariri hospital and Alwasity teaching hospital .RESULTS:Most of the patients showed no recurrence of fistulae after repair during follow up period whichextended for about 6 months postoperatively. Those pati-ents had good urine stream and straightpenis on erection without any torsion or deviation. No major complications were seen in all of thesepatients.CONCLUSION:The penile skin advancement flap with interposition dartos is simple procedure which can be usedfor surgical treatment of primary posthypospadias fistula of any size, site provided that there isadequate pliable durable penile skin .

DOI

10.52573/ipmj.2021.167083

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