Tunica vaginalis flap – is it a better surgical choice for urethro-cutaneous fistula following circumcision?
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Date
2020-04
Journal Title
Journal ISSN
Volume Title
Publisher
Siddharth Health Research and Social Welfare Society
Abstract
Objective: To study the effectiveness of tunica vaginalis flap in repair of post circumcision urethro- cutaneous fistula.
Materials and Methods: The current study reviewed all patients having surgical repair of post-circumcision urethrocutaneous fistula from December 2014 to April 2019 at our institution.
Results: Ten cases presenting at age 5 to 22 years were operated. Most [60%] of the circumcisions were performed by a doctor at peripheral hospitals and others were done by traditional circumcisers. All cases had a single fistula and the size was more than 5mm in all cases. Three-layered fistula closure was done in all cases using the tunica vaginalis flap as the second layer for closure. There was no recurrence in any case.
Conclusion: Use of Tunica vaginalis flap for repair of post circumcision urethro-cutaneous fistula is a highly effective technique regardless of size and site of the fistula. It is a simple procedure without any postoperative complications and without any recurrence
Description
Keywords
Circumcision, Complication, Repair, Tunica-vaginalis flap, Urethrocutaneous fistula
Citation
Maiti K, Roy P, Pal DK. Tunica vaginalis flap – is it a better surgical choice for urethro-cutaneous fistula following circumcision?. International Journal of Medical Research & Review. 2020 Apr; 8(2): 154-158