‘Waterproofing layers’ for urethrocutaneous fistula repair after hypospadias surgery: evidence synthesis with systematic review and meta-analysis

Choudhury, Prativa; Saroya, Komal Kaur; Jain, Vishesh; Yadav, Devendra Kumar; Dhua, Anjan Kumar; Anand, Sachit; Mawar, Shashi; Verma, Vivek; Kapahtia, Siddharth; Acharya, Sameer; Shah, Rasik; Bajpai, Minu; Goel, Prabudh

doi:10.1007/s00383-023-05405-1

Cited by 2 publications

(2 citation statements)

References 63 publications

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“…Numerous factors, such as UCF characteristics, meatal stenosis, local tissue conditions surrounding the stula, details of the initial urethroplasty, and the surgical skills of the surgeon, are believed to be associated with the development of UCF recurrence [4,5]. The incidence of UCF recurrence has been reported to be approximately 20% in previous studies [2][3][4][5][6]. Consistent with these ndings, the UCF recurrence rate in our study was 22.8% (31/136).…”

Section: Discussionsupporting

confidence: 89%

“…However, UCF recurs approximately 20% of the time [2]. A recent meta-analysis of 2886 patients who underwent UCF repair found that 539 experienced recurrences, with success rates for different approaches ranging from 54.5-100% [3]. Various risk factors for recurrent UCF have been explored, apart from the characteristic of UCF itself, such as the type of hypospadias, the length of urethral defect, and urethral operation history [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Treatment Failure in Urethrocutaneous Fistula Repair for Hypospadias: A Retrospective Analysis

Zhang,

Sun,

Zhang

et al. 2024

Preprint

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Purpose This study aimed to identify risk factors associated with the recurrence of urethrocutaneous fistula (UCF) following repair in patients with hypospadias, beyond the intrinsic characteristics of the fistula itself. Methods Clinical data of patients who underwent UCF repair were retrospectively reviewed. Potential risk factors included age and body mass index at UCF repair, history of low birth weight and prematurity, urethral defect length, operative approaches and urethral covering during hypospadias repair (HR), interval between urethroplasty and UCF presentation, interval between urethroplasty and UCF repair, meatal stenosis, size, number and location of UCFs. Univariate and multivariate analysis were used to identify the risk factors of UCF recurrence. Results A total of 136 patients underwent UCF repair from 2013 to 2022, and UCF recurred in 31 patients (22.8%) after a median follow-up of 36.2 months. Results of multivariate analysis showed that the UCF with a diameter exceed 4mm (OR6.968, 95% CI 1.522–31.898, P=0.012), multiple UCFs (OR 4.017, 95% CI 1.284–12.571, P=0.017), coronal UCF (OR 2.964, 95% CI 1.142–7.695, P=0.026) and urethral covering with non-Buck’s fascia (OR 2.631, 95% CI 1.015–6.819, P=0.047) were statistically significant, correlating with the risk of UCF recurrence. Conclusion UCF repair was more prone to failure if the size of UCF exceeds 4 mm, if it is located at the coronary sulcus, if multiple UCFs are present. Employing Buck’s fascia during HR would reduce the incidence of UCF recurrence.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Predictors of Treatment Failure in Urethrocutaneous Fistula Repair for Hypospadias: A Retrospective Analysis

Zhang,

Sun,

Zhang

et al. 2024

Preprint

View full text Add to dashboard Cite

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Ureterocutaneous Fistula in the Setting of Recurrent Gluteal Abscesses: A Case Report

Alapatt,

Son,

Fink

et al. 2024

EMJ Urol

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Ureteral fistulas are a rare occurrence that can arise from iatrogenic trauma, radiation, malignancy, and inflammation. Treatment options of urinary tract fistulas are handled on a case-by-case basis, and can necessitate a surgical approach. The authors present the case of an 85-year-old female patient with a ureterocutaneous fistula, where conservative management with percutaneous nephrostomy is a viable alternative to surgical intervention.

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‘Waterproofing layers’ for urethrocutaneous fistula repair after hypospadias surgery: evidence synthesis with systematic review and meta-analysis

Cited by 2 publications

References 63 publications

Predictors of Treatment Failure in Urethrocutaneous Fistula Repair for Hypospadias: A Retrospective Analysis

Predictors of Treatment Failure in Urethrocutaneous Fistula Repair for Hypospadias: A Retrospective Analysis

Ureterocutaneous Fistula in the Setting of Recurrent Gluteal Abscesses: A Case Report

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