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- W2384490531 abstract "Objective To study the cause of urinary fistula postneoplasty, and to explore the operative treatment. Methods We retrospectively analyzed 168 cases of hypospadias which had been treated with neoplasty in recent 10 years in our hospital, of which 21 cases urinary fistula occurred postoperation and then was treated with U-shaped skin flap multilayered overjet procedure. Results The causes of urinary fistula postneoplasty were mainly associated with: improperly drew materials which might be with bad blood supply; impassable pathway of urine for by-pass which could lead to bad drainage of urine and soaked the sutured raw surface in the urine, and then infection occurred subsequently; distally stricture which might cause disruptive sutured raw surface because of high pressure intraurethral while urinating; the suture materials of poor quality; poor surgical technic. After operation for urinary fistula, all cases fully recovered except one case with multiple urinary fistulae to whom little urinary fistula happened again. Conclusion The main causes of urinary fistula postneoplasty are associated with skin flap of poor blood supply and impassable pathway for urine by-pass. Infection and suture materials can not be disregarded. The most prehensible procedure for surgeon should be chosen for neoplasty. The multilayered overjet procedures good effect to urinary fistula postneoplasty in hypospadias. The keypoints for success are skin flap well blood supplied, multilayered suture and nice urine by-pass." @default.
- W2384490531 created "2016-06-24" @default.
- W2384490531 creator A5028954038 @default.
- W2384490531 date "2010-01-01" @default.
- W2384490531 modified "2023-09-26" @default.
- W2384490531 title "The causes and repair of urinary fistula postneoplasty" @default.
- W2384490531 hasPublicationYear "2010" @default.
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