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Solitary urethrocutaneous fistula managed by the PATIO repair

R B Nerli1, Tanamaya Metgud, S Bindu

  • 1Division of Pediatric Urology, KLE University's JN Medical College, Belgaum, India. rajendranerli@yahoo.in

Journal of Pediatric Urology
|June 15, 2010
PubMed

Insights

The novel PATIO (preserve the tract and turn it inside out) repair is a simple and effective technique for treating solitary urethrocutaneous fistulas in children. This method demonstrated no recurrence in a small cohort, highlighting its reliability.

Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Urethrocutaneous fistula is a potential complication following hypospadias repair.
  • Effective surgical techniques are crucial for successful fistula management.

Purpose of the Study:

  • To evaluate the efficacy and safety of the PATIO (preserve the tract and turn it inside out) repair technique.
  • To assess the outcomes of managing solitary urethrocutaneous fistula in children using the PATIO repair.

Main Methods:

  • The PATIO repair technique was employed in pediatric patients with solitary urethrocutaneous fistulas.
  • Inclusion criteria specified a fistula diameter of less than 4mm.
  • A tunica vaginalis flap was used in select cases for interposition between the urethra and skin.

Main Results:

  • Ten children underwent the PATIO repair procedure.
  • The average operative time was 22 minutes.
  • No fistula recurrence was observed in the study group.

Conclusions:

  • The PATIO repair is a straightforward and reliable surgical option for solitary urethrocutaneous fistulas.
  • The technique is associated with low morbidity and effective outcomes in pediatric patients.
  • Successful management of small urethrocutaneous fistulas (<4mm) was achieved with the PATIO repair.
Abstract

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