Akademik Veri Yönetim Sistemi
24th EUPSA CONGRESS, İzmir, Türkiye, 7 - 10 Temmuz 2023, ss.1
Aim of the Study: The rate of fistula
development after hypospadias surgery varies between 5-50% depending on the
type and level of hypospadias, whether there is a curvature, whether the child
has had previous surgery, whether there is sufficient tissue and the technique
used. In this study, it is aimed to present fistula formation after distal
hypospadias repair and recurrence rate after fistula repair during our 15-year
clinical experience.
Methods: Postoperative
fistula development rates of patients who underwent primary distal hypospadias
repair between the years 2007-2022 were analyzed. The rates of recurrence of
fistula after fistula repair were examined.
Main results: A total
of 417 patients were included in the study. Fistula developed in 54 patients
(13%) after the first surgery. The mean age of the patients at the time of the
first operation was 48 months. It was observed that there was fistula approximately
10 months after the operation. Re-fistula formation was observed in 14 (25%) of
54 patients who underwent fistula repair. The most common fistula location
after the first operation was the coronal level (53%), with 28 patients.
Conclusions: In
patients who develop fistula after distal hypospadias repair, the risk of
developing a fistula after the repair is higher than the risk of developing a
fistula after the primary repair. These results may be related to the
techniques and methods used in primary repair.