A case of successful repair of urethrocutaneous fistula post proximal hypospadias repair managed by Johanson’s 2 stage urethroplasty

Abstract

Urethrocutaneous fistula (UCF) after hypospadias repair remain a frustrating Problem for all the practicing urologists. Furthermore, with the improvement in suture materials and surgical techniques, complications if they may arise also present with litigations for the urologist. We present a case of a 18 year old boy with 46 XY mixed gonadal dysgenesis who had undergone proximal hypospadias repair with Duckett’s tube urethroplasty with resultant complication of subcoronal urethrocutaneous fistula which failed first attempt at repair and resulted in two urethrocutaneous fistulas which was successfully managed by two stage Johanson’s urethroplasty.

Keywords

• urethrocutaneous fistula
• johanson’s urethroplasty
• hypospadias
• dsd