Tunica vaginalis flap – is it a better surgical choice for urethro-cutaneous fistula following circumcision?

  • Dr. Krishnendu Maiti Associate professor, Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India https://orcid.org/0000-0002-1891-6864
  • Dr. Pinaki Roy Post Doctoral Trainee, Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India https://orcid.org/0000-0002-3606-6138
  • Dr. Dilip Kumar Pal Professor and HOD, Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India
Keywords: Circumcision, Complication, Repair, Tunica-vaginalis flap, Urethrocutaneous fistula

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

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CITATION
DOI: 10.17511/ijmrr.2020.i02.03
Published: 2020-04-30
How to Cite
1.
maity krishnendu, roy P, Pal DK. Tunica vaginalis flap – is it a better surgical choice for urethro-cutaneous fistula following circumcision?. Int J Med Res Rev [Internet]. 2020Apr.30 [cited 2024Nov.13];8(2):154-8. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1141
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Original Article