Delayed presentation of urethrocutaneous fistulae after hypospadias repair
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In brief
In brief
Retrospective study examining delayed urethrocutaneous fistula (UCF) presentation occurring more than 5 years after hypospadias repair. Analysis of 12 patients showed mean delayed presentation at 11.5 years post-repair, with 33% requiring additional surgery for recurrence, highlighting the need for long-term surveillance.
Written by the GCMD Library team from the article.
Background
Delayed urethrocutaneous fistula (UCF) presentation after hypospadias repair is rarely reported. The aim of this study is to report our experience with delayed UCF presenting more than 5 years after hypospadias repair.
Methods
We conducted a retrospective review of patients who underwent UCF repair (CPT codes 54,340 and 54,344) at our institution between 1997 and 2017. Delayed UCF presentation was defined as a single normal urinary stream after initial hypospadias repair and subsequent presentation of a UCF/s urinary stream more than 5 years after initial hypospadias or UCF repair. Demographic and clinical data were reviewed after approval from our institutional review committee.
Results
We identified 12 patients with delayed UCF. The mean age at hypospadias repair was 12.3 months (Range 6–32). The mean time to delayed UCF presentation was 11.5 years (Range 7.1–15.8). Four patients with delayed UCF (33.3%) required additional surgery for UCF recurrence with a mean time to recurrence of 2.2 years (Range