Use of autologous platelet rich fibrin in urethracutaneous fistula repair: preliminary report

Soyer T., Cakmak M., Aslan M. K., Senyucel M. F., Kısa Ü.

INTERNATIONAL WOUND JOURNAL, vol.10, no.3, pp.345-347, 2013 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 10 Issue: 3
  • Publication Date: 2013
  • Doi Number: 10.1111/j.1742-481x.2012.00983.x
  • Journal Name: INTERNATIONAL WOUND JOURNAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.345-347
  • Keywords: Urethrocutaneous fistula, Hypospadias, Platelet rich fibrin, Wound healing, URETHROCUTANEOUS FISTULA, HYPOSPADIAS SURGERY, EXPERIENCE, SEALANT
  • Ankara University Affiliated: Yes

Abstract

Urethrocutaneous fistula (UCF) is one of the most common complications occurring after hypospadias repair. Despite the surgical advancement in hypospadias, multiple failed fistula closures are commonly referred to paediatric urologists. Although several techniques have been described to interpose a waterproof layer between urethral and skin closures, occurrence of urethrocutaneous fistula cannot be eliminated completely. In addition to several local tissue grafts, autologous and homologous fibrin sealants are used to prevent UCF. Platelet rich fibrin (PRF) is known as an autologous source of growth factors obtained from the sera of the patient. PRF supports collagen synthesis and tissue repair and accelerates wound healing. We aimed to present our initial experience about the use of autologous PRF in a 3-year-old boy with a UCF after hypospadias repair.