Rupture of the corpus spongiosum and/or urethral fistula
, compression of the corpus cavernosum, and distal anesthesia.
Of the three patients with urethral fistula
one healed with conservative management while 2 (11.1%) required second procedure.
closures involve excision and closure of the fistula with adequate dartos flap coverage after excluding distal urethral stenosis.
current discharging sinus, nodule or urethral fistula
The HOSE is a validated scoring system that incorporates the evaluation of meatal location and shape, urinary stream, straightness of erection, presence and complexity of urethral fistula
At each visit, history was taken and systemic and local examinations done for any urethral fistula
, rotational deformity, disruption or stricture formation.
Sutcliffe and colleagues (2007) reported an average hospital stay of 11 days following the procedure, and complications in 32 FTM patients studied included one case of severe hematoma, two cases of urethral stricture, and three cases of urethral fistula
. Urethral lengthening requires placement of a suprapubic catheter until the new urethra is patent, and is usually removed during the first week of post-operative hospitalization (Bowman & Goldberg, 2006).
Urethral injury and urethral fistula
development are among the well-known complications of circumcision (4).
This anomaly may be accompanied by various pathological conditions including hypospadias epispadias anterior urethral valve lacuna manga prostatic urethral polyps megalo-urethra syringocele (dilated Cowper gland) and congenital urethral fistula
The exclusion criteria were: a previous pelvic or vaginal operation, predominant urge incontinence, pelvic or systemic infection, inguinal or vulvar abscess, pregnancy, urinary tract obstruction or renal insufficiency, pelvic pain (unrelated to prolapse), vaginal bleeding of unknown etiology, blood coagulation disorders, pelvic malignancy or previous radiation of the pelvic area, vaginal erosion or severe vaginal atrophy, vaginal or urethral fistula
, and known allergy to the suture material.
Conclusions: Circumferential incision around the fistula opening, tension free closure with fine PDS suture is the key for successful treatment of urethral fistula
developed in 23 (19.2%) of 120 primary patients and 5 (23.8%) of 21 recurrent patients (p=0.623).