Maiti, KRoy, PPal, DK2020-09-242020-09-242020-04Maiti 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): 154-1582320-86862321-127Xhttp://imsear.searo.who.int/handle/123456789/205339Objective: 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 recurrenceCircumcisionComplicationRepairTunica-vaginalis flapUrethrocutaneous fistulaJournal ArticleIndiaDr. Krishnendu Maiti Associate professor, Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, IndiaDr. Pinaki Roy Post Doctoral Trainee, Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, IndiaDr. Dilip Kumar Pal Professor and HOD, Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India