Durham Smith Vest-Over-Pant Technique: Simple Procedure for a Complex Problem (Post-Hypospadias Repair Fistula)
Venkat A Gite1, Saurabh R Patil, Sachin M Bote
1Department of Urology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, India.
Urologia Internationalis
|January 25, 2017
Summary
The Durham Smith vest-over-pant technique offers a 100% success rate for repairing urethrocutaneous fistulas after hypospadias surgery. This simple method effectively addresses complex post-hypospadias repair fistulas in children.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Reconstructive Surgery
Background:
- Urethrocutaneous fistula is a common complication following hypospadias repair surgery.
- Treatment of these fistulas presents significant surgical challenges.
- The Durham Smith vest-over-pant technique is a less invasive option for fistula repair.
Purpose of the Study:
- To evaluate the efficacy of the Durham Smith vest-over-pant technique.
- To assess the outcomes of this simple procedure for complex post-hypospadias repair fistulas.
Main Methods:
- A cohort of 20 patients with post-hypospadias repair fistulas were treated between 2011 and 2015.
- All patients underwent repair using the Durham Smith vest-over-pant technique by a single surgeon.
- Fistulas were categorized by location, size, and number, with adjacent fistulas consolidated.
Main Results:
- The Durham Smith vest-over-pant technique achieved a 100% success rate in repairing all urethrocutaneous fistulas.
- The procedure was applied to fistulas of various sizes and locations, including coronal, distal, mid, and proximal penile sites.
Conclusions:
- The Durham Smith vest-over-pant technique is a straightforward and highly effective solution for post-hypospadias surgery urethrocutaneous fistulas.
- This technique is recommended for properly selected patients facing complex fistula challenges.
Keywords:
De-epithelialized skin flapDurham Smith repairHypospadiasPost-hypospadias repair fistulaUrethrocutaneous fistula
