الفهرس 
ANATOMY OF THE PENISOnly 14 pages are availabe for public view
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Abstract
U
rethrocutaneous fistula (UCF) is still the commonest complication after hypospadias repair. Although recent advances in the surgical procedures of hypospadias repair have reduced the rate of urethrocutaneous fistula formation, it remains a real complication of hypospadias and frustrating problem for surgeons.
Many techniques were used to repair the urethrocutaneous fistula after hypospadias surgery, as there is no single technique is effective in all cases of UCF. The best technique for fistula repair is determined based on the size, location and number of fistulas as well as the status of the surrounding skin.
The concept of interpositioning layers was introduced to aid in the repair of urethrocutaneous fistula after hypospadias surgery and prevent its recurrence. Many flaps as dartos fascial flap and tunica vaginalis flap as well as synthetic tissue adhesives as cyanoacrylate glue were used for this purpose.
In our study, in the group of patients repaired with multilayered closure procedure using dartos facial flap only for covering, 14 patients (70%) were successfully repaired and 6 patients (30%) developed a recurrent fistula.
The success rate was higher for patients using cyanoacrylate glue as a protective interpositioning layer as 16 patients (80%) were successfully repaired and 4 patients (20%) developed a recurrent fistula. However, there was no statistically significant difference between 2 groups p-value was 0.465.