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[Urethral fistulas after surgical treatment of hypospadias. Apropos of a series of 74 cases].

Authors
  • Dubois, R
  • Pelizzo, G
  • Nasser, H
  • Valmalle, A F
  • Dodat, H
Type
Published Article
Journal
Progrès en Urologie
Publisher
Elsevier
Publication Date
Dec 01, 1998
Volume
8
Issue
6
Pages
1029–1034
Identifiers
PMID: 9894263
Source
Medline
License
Unknown

Abstract

Of all the complications of hypospadias surgery, fistulas are in most cases the easiest to resolve, provided that some fundamental rules are respected: a minimum of 6 month between both procedures, previous treatment of any concomitant urethral stenosis, use of a tourniquet and loops magnification, and an additional layer of interrupted subcutaneous sutures. A haemostatic dressing reduces the tension of the sutures. An urinary diversion is only necessary for larger fistulas which require a second-stage urethroplasty.

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