Urethro-cutaneous Fistula After Hypospadia Repair: A Single Institution Study
Urethro-cutaneous fistula (UCF) is one of the most frequently seen complications of hypospadias surgery requiring re-operation; it occurs with an incidence of between 4% and 28%. Risk factors associated with the development of UCF can be classified as preoperative, intraoperative or postoperative. T...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Surgical Society of Kenya
2019-07-01
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| Series: | The Annals of African Surgery |
| Subjects: | |
| Online Access: | https://www.annalsofafricansurgery.com/risk-factors-for-uretho-cutaneous-f |
| _version_ | 1811321774197964800 |
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| author | Tim Jumbi, Swaleh Shahbal Robert Mugo Francis Osawa Peter Mwika Joel Lessan |
| author_facet | Tim Jumbi, Swaleh Shahbal Robert Mugo Francis Osawa Peter Mwika Joel Lessan |
| author_sort | Tim Jumbi, |
| collection | DOAJ |
| description | Urethro-cutaneous fistula (UCF) is one of the most frequently seen complications of hypospadias surgery requiring re-operation; it occurs with an incidence of between 4% and 28%. Risk factors associated with the development of UCF can be classified as preoperative, intraoperative or postoperative. The aim of this study was to determine the association of peri-operative risk factors and the development of urethrocutaneous fistula after hypospadias repair. A retrospective review of patients who had undergone hypospadias repair at Kenyatta National Hospital between 2013 and 2017 was conducted. 114 patient records were retrieved. The incidence of UCF was 47%. Risk factors that were significantly associated with UCF are hypospadias type (p=0.028), lack of a protective intermediate layer (p=0.002), and presence of postoperative complications (p=0.001). Age at surgery, suture material, type of repair and use of catheter/stents were not significant factors. Multivariate analysis showed wound infection and meatal stenosis as the most significant factors associated with UCF development. |
| first_indexed | 2024-04-13T13:22:32Z |
| format | Article |
| id | doaj.art-2321798a58c84088abd7e849331f755c |
| institution | Directory Open Access Journal |
| issn | 1999-9674 2523-0816 |
| language | English |
| last_indexed | 2024-04-13T13:22:32Z |
| publishDate | 2019-07-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj.art-2321798a58c84088abd7e849331f755c2022-12-22T02:45:15ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162019-07-011625963Urethro-cutaneous Fistula After Hypospadia Repair: A Single Institution StudyTim Jumbi,0Swaleh Shahbal1Robert Mugo2Francis Osawa3Peter Mwika4Joel Lessan5University of NairobiUniversity of NairobiUniversity of NairobiUniversity of NairobiUniversity of NairobiKenyatta National HospitalUrethro-cutaneous fistula (UCF) is one of the most frequently seen complications of hypospadias surgery requiring re-operation; it occurs with an incidence of between 4% and 28%. Risk factors associated with the development of UCF can be classified as preoperative, intraoperative or postoperative. The aim of this study was to determine the association of peri-operative risk factors and the development of urethrocutaneous fistula after hypospadias repair. A retrospective review of patients who had undergone hypospadias repair at Kenyatta National Hospital between 2013 and 2017 was conducted. 114 patient records were retrieved. The incidence of UCF was 47%. Risk factors that were significantly associated with UCF are hypospadias type (p=0.028), lack of a protective intermediate layer (p=0.002), and presence of postoperative complications (p=0.001). Age at surgery, suture material, type of repair and use of catheter/stents were not significant factors. Multivariate analysis showed wound infection and meatal stenosis as the most significant factors associated with UCF development.https://www.annalsofafricansurgery.com/risk-factors-for-uretho-cutaneous-fhypospadiasurethro-cutaneous fistularisk factorswound infectionmeatal stenosis |
| spellingShingle | Tim Jumbi, Swaleh Shahbal Robert Mugo Francis Osawa Peter Mwika Joel Lessan Urethro-cutaneous Fistula After Hypospadia Repair: A Single Institution Study The Annals of African Surgery hypospadias urethro-cutaneous fistula risk factors wound infection meatal stenosis |
| title | Urethro-cutaneous Fistula After Hypospadia Repair: A Single Institution Study |
| title_full | Urethro-cutaneous Fistula After Hypospadia Repair: A Single Institution Study |
| title_fullStr | Urethro-cutaneous Fistula After Hypospadia Repair: A Single Institution Study |
| title_full_unstemmed | Urethro-cutaneous Fistula After Hypospadia Repair: A Single Institution Study |
| title_short | Urethro-cutaneous Fistula After Hypospadia Repair: A Single Institution Study |
| title_sort | urethro cutaneous fistula after hypospadia repair a single institution study |
| topic | hypospadias urethro-cutaneous fistula risk factors wound infection meatal stenosis |
| url | https://www.annalsofafricansurgery.com/risk-factors-for-uretho-cutaneous-f |
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