PATIO Repair in Solitary Urethrocutaneous Fistula : Experience of Dhaka Shishu (Children) Hospital

Md. Ayub Ali1, Md. Hasanuzzaman2, Paritosh Kumar Palit3, Md. Abdul Aziz4,Swapan Kumar Paul5


Background: The commonest complication following hypospadias repair is occurrence
of urethrocutaneous fistula. A variety of surgical techniques have been described in
literature and it is accepted that no single technique is suitable or effective for all
Objective: A novel technique has been described for repairing penile urethrocutaneous
fistula: the PATIO (preserve the tract and turn it inside out) repair. We report our
experience with this technique in managing solitary urethrocutaneous fistula following
primary hypospadias repair.
Methodology: A total of 42 male children with urethrocutaneous fistula were included
in the study from July 2014 to December 2015. The inclusion criterion was solitary
fistula of <4mm widest diameter.
Results: The mean age of patients was 68.57±25.96 months. Operation time, length
of hospital stay and operation cost were 24.95±2.78 minutes, 2.14±0.36 days and
3625.71±215.14 taka respectively. No recurrence of fistula was noted.
Conclusion: The PATIO technique is simple, easy to perform, can be done with
short operative time and short hospital stay, with low morbidity, and is reliable in
treating solitary urethrocutaneous fistula <4 mm in size.
Key Words: Hypospadias, Urethrocutaneous fistula, PATIO


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