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Surgical Reconstruction of Urethrocutaneous Fistulae

  • Margaret M. HigginsEmail author
  • Shubham Gupta
Chapter

Abstract

Urethrocutaneous fistulae present a reconstructive challenge. Common etiologies include sequela from post-infectious urethral stricture disease, adult hypospadias repair, and urethral stricture repair, particularly following two-stage urethroplasty. Diagnosis is established with physical examination, urethrography, and endoscopy. Attention is paid to the location and multiplicity of the fistula, along with the caliber of the remainder of the urethra, and the health of the surrounding tissue in order to plan a repair. Simple fistulas can be repaired in a single stage with multi-layered closure, while complex fistulas may require two or more stages with advanced reconstructive techniques in order to achieve success. General principles and specific techniques are discussed, and an algorithm for fistula management is suggested.

Keywords

Urethrocutaneous fistula Urethral stricture Urethroplasty Hypospadias 

Notes

Acknowledgments

Tom Dolan, MS, prepared the figures and illustrations

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of UrologyUniversity of KentuckyLexingtonUSA

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