Araştırma Makalesi

Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias

Cilt: 32 Sayı: 4 1 Aralık 2025
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Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias

Öz

Objective: To investigate the incidence of fistula formation following distal hypospadias repair and the recurrence rate after fistula correction within a 15-year period. Material and Method: 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. 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 39 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. Re-fistula occurrence time after fistula repair was 5 days-18 months. The most common fistula location after the first operation was the coronal level (53%), with 28 patients where as the most location after the fistula repair was also coronal level (71% with 10 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.

Anahtar Kelimeler

Etik Beyan

The study was conducted in accordance with the Declaration of Helsinki and was approved by the Ankara University Faculty of Medicine Clinical Research Ethics Committee, No: i10-811-24.

Kaynakça

  1. 1. Fathi BA, Elgammal AA, Ghoneimy OM, et al. Urethral advancement and glanuloplasty versus tubularized incised plate urethroplasty for distal hypospadias repair: A prospective randomized study. BMC Urol 2023;23:1–9. https://doi.org/10.1186/s12894-023-01242-5.
  2. 2. Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. Journal of Urology 1994;151:464–5. https://doi.org/10.1016/S0022-5347(17)34991-1.
  3. 3. Cakmak M, Gollu G, Ates U, et al. Hypospadias and the use of the ages and stages questionnaire to evaluate neurodevelopmental status of boys with hypospadias. European Journal of Pediatric Surgery 2021. https://doi.org/10.1055/s-0041-1723993.
  4. 4. Li J, Li S, Yang Z, et al. A simple technique to repair distal and mid-shaft hypospadias using a de-epithelialized Byars’ flap. Journal of International Medical Research 2022;50. https://doi.org/10.1177/03000605221115150.
  5. 5. Shirazi M, Ariafar A, Babaei AH, et al. A simple method for closure of urethrocutaneous fistula after tubularized incised plate repair: Preliminary results. Nephrourol Mon 2016;8:6–10. https://doi.org/10.5812/numonthly.40371.
  6. 6. Snodgrass WT, Bush N, Cost N. Tubularized incised plate hypospadias repair for distal hypospadias. J Pediatr Urol 2010;6:408–13. https://doi.org/10.1016/j.jpurol.2009.09.010.
  7. 7. El-Helaly HAA, Youssof HA, Ibrahim HM, et al. Distal hypospadias repair: Comparative study between snodgrass and transverse preputial onlay flap. J Pediatr Urol 2022;18:610.e1-610.e6. https://doi.org/10.1016/j.jpurol.2022.08.016.
  8. 8. Faraj S, Bouty A, Demede D, et al. Hypospadias preputial flap onlay technique - Step by step. J Pediatr Urol 2023:9–10. https://doi.org/10.1016/j.jpurol.2023.02.013.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Çocuk Cerrahisi

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

1 Aralık 2025

Gönderilme Tarihi

7 Eylül 2025

Kabul Tarihi

10 Kasım 2025

Yayımlandığı Sayı

Yıl 2025 Cilt: 32 Sayı: 4

Kaynak Göster

APA
Khalilova, P., Ergün, E., Göllü Bahadır, G., Ateş, U., Koloğlu, M., Yağmurlu, A., & Çakmak, A. (2025). Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias. Medical Journal of Süleyman Demirel University, 32(4), 337-341. https://doi.org/10.17343/sdutfd.1779566
AMA
1.Khalilova P, Ergün E, Göllü Bahadır G, vd. Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias. SDÜ Tıp Fak Derg. 2025;32(4):337-341. doi:10.17343/sdutfd.1779566
Chicago
Khalilova, Pari, Ergun Ergün, Gülnur Göllü Bahadır, vd. 2025. “Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias”. Medical Journal of Süleyman Demirel University 32 (4): 337-41. https://doi.org/10.17343/sdutfd.1779566.
EndNote
Khalilova P, Ergün E, Göllü Bahadır G, Ateş U, Koloğlu M, Yağmurlu A, Çakmak A (01 Aralık 2025) Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias. Medical Journal of Süleyman Demirel University 32 4 337–341.
IEEE
[1]P. Khalilova vd., “Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias”, SDÜ Tıp Fak Derg, c. 32, sy 4, ss. 337–341, Ara. 2025, doi: 10.17343/sdutfd.1779566.
ISNAD
Khalilova, Pari - Ergün, Ergun - Göllü Bahadır, Gülnur - Ateş, Ufuk - Koloğlu, Meltem - Yağmurlu, Aydın - Çakmak, Ahmet. “Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias”. Medical Journal of Süleyman Demirel University 32/4 (01 Aralık 2025): 337-341. https://doi.org/10.17343/sdutfd.1779566.
JAMA
1.Khalilova P, Ergün E, Göllü Bahadır G, Ateş U, Koloğlu M, Yağmurlu A, Çakmak A. Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias. SDÜ Tıp Fak Derg. 2025;32:337–341.
MLA
Khalilova, Pari, vd. “Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias”. Medical Journal of Süleyman Demirel University, c. 32, sy 4, Aralık 2025, ss. 337-41, doi:10.17343/sdutfd.1779566.
Vancouver
1.Pari Khalilova, Ergun Ergün, Gülnur Göllü Bahadır, Ufuk Ateş, Meltem Koloğlu, Aydın Yağmurlu, Ahmet Çakmak. Comparison of Fistula Rates After Urethrocutaneous Fistula Repair Versus Primary Hypospadias Repair for Distal Hypospadias. SDÜ Tıp Fak Derg. 01 Aralık 2025;32(4):337-41. doi:10.17343/sdutfd.1779566

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