Abstract

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