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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 10 No. 1-2 (2019)

Result of simple versus layered repair of urethro-cutaneous fistula developing after hypospadias surgery

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2019
CONTENTSVolume 10Number 1 & 2January - July 2019
Editorial
The risk factors of gall stone formation in children
Md Kabirul Islam
01
Review Articles
Esophageal atresia and tracheoesophageal fistula: A review
Arihant Jain, Nitin James Peters, Shivani Dogra
49
Original Articles
The need for practice enhancements and parental empowerment during their child’s day surgery process: A pilot study
Ahamed Faiz Ali
05
Management of paediatric surgical patients during the COVID-19 pandemic: Our challenges
Mohammed Shadrul Alam, AKM Khairul Basher, Jaglul Gaffer Khan, Muhammed Moinul Huque, Tahmina Hossain, Shahnoor Islam, Samidur Rahman, Kaniz Hasina, Abdul Tablu Hanif, Ashraf Ul Huq
15
Safety and advantages of early oral feeding after intestinal anastomosis in children: Our experience
Refoyez Mahmud, Md Samiul Hasan, Nazmul Islam, Sadia Sultana, Fahim Hasan, Ashrarur Rahman
22
Histopathological study of the fertility components of undescended testes in boys of different age group
Md Mizanur Rahman, A K M Zahid Hossain
26
Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair
Saifuddin Shaheen, Ipsita Biswas, Muhammad Rashedul Alam
32
Result of simple versus layered repair of urethro-cutaneous fistula developing after hypospadias surgery
Amitava Biswas, KM Didarul Islam, Md Ruhul Amin, Agomoni Chaki, AKM Khairul Basher, Md Zamil Hossain
37
Prognostic value of serum lactate dehydrogenase and serum ferritin for abdominal neuroblastoma in children
Dewan Fahmida Akter, Shahnoor Islam
43
Case Reports
Isolated congenital urethrocutaneous fistula: Two case reports
Umme Habiba Dilshad Munmun, A K M Zahid Hossain
62
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Amitava BiswasJunior Consultant, Dept. of Paediatric Surgery, Dhaka Medical College and Hospital, Dhaka.
  • KM Didarul IslamAssociate Professor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
  • Md Ruhul AminProfessor, Dept. of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
  • Agomoni ChakiAssistant Registrar Dept. of Paediatric Gastroenterology & Nutrition, Dhaka Medical College and Hospital, Dhaka.
  • AKM Khairul BasherAssistant Professor, Department of Paediatric Surgery, Dhaka Medical College & Hospital, Dhaka.
  • Md Zamil HossainResident Surgeon, Paediatric Surgery, Rajshahi Medical College Hospital, Rajshahi.

Keywords

Hypospadias UC fistula Dorsal dartos flap

Abstract

Background: Urethro-cutaneous fistula (UCF) after hypospadias surgery occurs regardless of the location of the meatus, procedure performed or experience of the surgeon. Hypospadias repair continues to be a singularly demanding form of surgical expression with considerable artistic latitude. The commonest complication of hypospadias surgery is fistula formation, which almost always requires repeat and similarly demanding surgery. Aims and Objectives: The aim of our study was to compare the result between simple and layered repair of UCF developing after hypospadias surgery. Materials and Methods: This comparative type of study was carried out in the Department of Paediatric Surgery, BSMMU, Dhaka from June 2015 to August 2016 for a period of 15 (fifteen) months. Forty (40) diagnosed cases of UCF were included in the study. All the participants were randomized into two groups named Group A & Group B. Group A was assigned to the simple repair technique & Group B was assigned to the layered repair technique. Relevant data were collected in a predesigned questionnaire. Results: The recurrent fistula formation rate was much higher in Group A (30%) than in Group B (05%), which was statistically significant in between the two groups. The majority of the fistulae recurred within a few days of the removal of the stent (from 7th to 10th POD). 6, out of 7 recurrent UCF were observed in this period. No recurrent fistula was observed beyond 4 weeks after operation. Conclusions: This study revealed that, the layered repair technique, with the addition of vascularized dorsal dartos fascia reduces the recurrent fistula formation rate in a significant number. Though more time consuming and technically difficult, we recommend wide application of layered repair technique in the management of post hypospadias UCF.

Journal of Paediatric Surgeons of Bangladesh (2019) Vol. 10 (1 & 2): 37–42

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